Individual
KELLY M GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 WINDSOR PATH, GEORGETOWN, KY 40324-9617
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135581
KY
225X00000X
Occupational Therapist
R4593
KY
Other
Enumeration date
09/21/2010
Last updated
01/19/2021
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