Individual
KELSIE BLANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
203 KENTUCKY AVE, KEVIL, KY 42053-8976
(270) 462-8252
(270) 462-8253
Mailing address
203 KENTUCKY AVE, P.O. BOX 313, KEVIL, KY 42053-8976
(270) 462-8252
(270) 462-8253
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03004
KY
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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