Individual
KELLY JEAN JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 ROBY LN, HARTFORD, KY 42347-9550
(270) 256-9211
Mailing address
361 ROBY LN, HARTFORD, KY 42347-9550
(270) 256-9211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/18/2013
Last updated
01/21/2026
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