Individual
KELLY M CROGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 769-0058
(270) 737-1659
Mailing address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 769-0058
(270) 737-1659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3348
KY
Other
Enumeration date
03/26/2007
Last updated
03/22/2013
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