Individual
KELLY B KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
406 COOK CT, HOPKINSVILLE, KY 42240-8714
(270) 889-0725
Mailing address
406 COOK CT, HOPKINSVILLE, KY 42240-8714
(270) 889-0725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002821
KY
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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