Individual
KELLI J MCVAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 W SLATE ST, ANDOVER, KS 67002-7537
(316) 990-8210
Mailing address
710 W SLATE ST, ANDOVER, KS 67002-7537
(316) 990-8210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00197
KS
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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