Individual
CARLA BETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 JIM COTTRELL CIRCLE, PALMER, AK 99645
(907) 223-8336
Mailing address
PO BOX 584, WILLOW, AK 99688-0584
(907) 223-8336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
770
AK
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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