Individual
MRS. KELLY LYNN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
41088 BAYOU SEGNETTE AVE, GONZALES, LA 70737-8590
(504) 330-9373
Mailing address
41088 BAYOU SEGNETTE AVE, GONZALES, LA 70737-8590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07099
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07099
PT LICENSE
LA
01
—
12130928
NATIONAL ALLIANCE OF WOUND CARE AND OSTOMY (WCC)
IL
Enumeration date
10/10/2017
Last updated
10/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us