Individual
KELLY ROSE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
707 E PROSPECT AVE, NORFOLK, NE 68701-4388
(402) 379-7983
Mailing address
707 E PROSPECT AVE, NORFOLK, NE 68701-4388
(402) 379-7983
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
491
NE
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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