Individual
KATIE BLAIR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
10777 NALL AVE, OVERLAND PARK, KS 66211-1231
(913) 312-1777
Mailing address
6362 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(913) 663-2555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005005741
MO
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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