Individual
MRS. KELLY M WASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10321 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6129
(502) 425-1716
(502) 425-2258
Mailing address
PO BOX 22184, LOUISVILLE, KY 40252-0184
(502) 425-1716
(502) 425-2258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
03/01/2017
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