Individual
KELLY D MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3084 E US HIGHWAY 136, CRAWFORDSVILLE, IN 47933-7906
(765) 918-1803
Mailing address
3084 E US HIGHWAY 136, CRAWFORDSVILLE, IN 47933-7906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104014
IN
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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