Individual
KELLY ELIZABETH SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16013 LONE OAK DR, CATLETTSBURG, KY 41129-9291
(740) 463-9192
Mailing address
16013 LONE OAK DR, CATLETTSBURG, KY 41129-9291
(740) 463-9192
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
KY
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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