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Individual

KELLY COLLEEN LIPSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
720 YORKLYN RD, SUITE 150, HOCKESSIN, DE 19707-8728
(302) 234-2288
(302) 234-2869
Mailing address
720 YORKLYN RD, SUITE 150, HOCKESSIN, DE 19707-8728
(302) 234-2288
(302) 234-2869

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001887
DE
225100000X
Physical Therapist
PT017890
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00718598
MEDICARE RR
DE
Enumeration date
06/26/2006
Last updated
08/18/2009
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