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Individual

BETHANY KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGC

Contact information

Practice address
3470 BLAZER PKWY STE 200, LEXINGTON, KY 40509-1887
(859) 629-7117
(859) 685-0161
Mailing address
1404 COPPER CREEK DR, LEXINGTON, KY 40514-1276
(859) 537-4595
(859) 685-0161

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
GC159
KY

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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