Individual
DR. PAIGE MACKENZIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1207 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-8519
(859) 258-8592
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008919
KY
225100000X
Physical Therapist
CP025102T
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100934840
—
KY
Enumeration date
09/28/2023
Last updated
04/07/2025
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