Individual
MS. KELLY ELIZABETH CONDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4020 TAYLORSVILLE RD STE 7, LOUISVILLE, KY 40220-1569
(502) 479-2552
(502) 479-2539
Mailing address
4020 TAYLORSVILLE RD STE 7, LOUISVILLE, KY 40220-1569
(502) 479-2552
(502) 479-2539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454660825
PHYSICAL THERAPY OUTPATIENT
KY
Enumeration date
08/06/2018
Last updated
08/06/2018
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