Individual
KATHRYN KAY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
116 S CENTRAL AVE, MULVANE, KS 67110-1718
(316) 777-0977
Mailing address
6536 EAGLE DR, DERBY, KS 67037-9194
(316) 776-9527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01808
KS
225200000X
Physical Therapy Assistant
2001020589
MO
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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