Individual
DESTINY JANAE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
301 NE TUDOR RD, LEES SUMMIT, MO 64086-5702
(816) 986-1000
Mailing address
301 NE TUDOR RD, LEES SUMMIT, MO 64086-5702
(816) 986-1000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024031174
MO
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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