Individual
SHANNON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 NICHOLASVILLE RD APT 11430, LEXINGTON, KY 40503-6351
(270) 792-8578
(270) 792-8578
Mailing address
3800 NICHOLASVILLE RD APT 11430, LEXINGTON, KY 40503-6351
(270) 792-8578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
391268
KY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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