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Individual

KELLI HEDGPETH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3980 SOUTH JACKSON DR, INDEPENDENCE, MO 64068
(816) 478-5604
Mailing address
1133 SILVERLEAF LN, LIBERTY, MO 64068-8496

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005026651
MO

Other

Enumeration date
04/18/2014
Last updated
04/18/2014
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