Individual
SAMANTHA ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
1010 DOWNING AVE STE 60, HAYS, KS 67601-2461
(785) 621-4417
(866) 473-6903
Mailing address
1010 DOWNING AVE STE 60, HAYS, KS 67601-2461
(785) 621-4417
(866) 473-6903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8386
KS
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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