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Individual

KELLY MODAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
108 DIAGNOSTIC DR, FRANKFORT, KY 40601-6556
(502) 607-8910
Mailing address
1646 LUCIA AVE APT 1, LOUISVILLE, KY 40204-1346
(606) 356-5320

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
TP2018118
KY

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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