Individual
MRS. KELLY KATHLEEN FAILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 THOMAS MORE PKWY, STE 200, CRESTVIEW HILLS, KY 41017-3454
(859) 341-4842
Mailing address
500 THOMAS MORE PKWY, STE 200, CRESTVIEW HILLS, KY 41017-3454
(859) 341-4842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9105470
FL
363A00000X
Physician Assistant
Primary
—
KY
Other
Enumeration date
08/24/2010
Last updated
06/03/2014
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