Individual
VIRGINIA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CAVALIER BLVD, 110, FLORENCE, KY 41042-3950
(859) 594-4510
Mailing address
75 CAVALIER BLVD, 110, FLORENCE, KY 41042-3950
(859) 594-4510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
172384
KY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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