Individual
KELLY JEAN SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 ALEXA DR STE E, MT STERLING, KY 40353-1000
(859) 360-3006
Mailing address
805 ALEXA DR STE E, MT STERLING, KY 40353-1000
(859) 360-3006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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