Individual
KELLY MARIE HALE-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
20 HOSPITAL DR, LOGAN, WV 25601-3452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP018176T
MT
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
Primary
004040
WV
2251G0304X
Geriatric Physical Therapist
1243811
TX
Other
Enumeration date
02/01/2023
Last updated
02/17/2023
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