Individual
KELLY KERSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 737-1710
Mailing address
111 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 737-1710
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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