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1144484403 NPI number — JOAN RITCHIE KELLY MHS, PT

NPI Number: 1144484403
Health Care Provider/Practitioner: JOAN RITCHIE KELLY MHS, PT

Information about “1144484403” NPI (JOAN RITCHIE KELLY MHS, PT) exists in 1144484403 in HTML format HTML  |  1144484403 in plain Text format TXT  |  1144484403 in PDF (Portable Document Format) PDF  |  1144484403 in an XML format XML  formats.

NPI Number : 1144484403 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144484403",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KELLY",
    "FirstName": "JOAN",
    "MiddleName": "RITCHIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MHS, PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RITCHIE",
    "OtherFirstName": "JOAN",
    "OtherMiddleName": "ELAINE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MHS, PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "6008 BROWNSBORO PARK BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40207-1295",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-899-4760",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6008 BROWNSBORO PARK BLVD",
    "SecondLinePracticeLocationAddress": "SUITE H",
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40207-1295",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-899-4719",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2008",
    "LastUpdateDate": "07/16/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "003759",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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