Individual
KELLI MYKAL CORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 523-2522
(606) 523-2568
Mailing address
383 CORBIN CENTER DR, CORBIN, KY 40701-1895
(606) 523-2522
(606) 523-2568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007618
KY
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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