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Individual

KELLI PADGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1101 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 980-0242
Mailing address
2700 RABBIT RUN RD, VINE GROVE, KY 40175-5406
(270) 980-0242

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132201
KY

Other

Enumeration date
07/02/2008
Last updated
09/14/2019
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