Individual
KAELYN BROELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
520 WOODLAKE DR, MOUNT WASHINGTON, KY 40047-5123
(502) 538-3172
Mailing address
131 N HOWARD ST, BARDSTOWN, KY 40004-8115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
277298
KY
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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