Individual
KELLI CORDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6417 US 60, ASHLAND, KY 41102-7916
(606) 475-0200
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
299749
KY
Other
Enumeration date
01/06/2022
Last updated
06/10/2025
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