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NPI Code Detail

MEDICARE: KAY FRANCES KELLY MS, PT, NHA

MEDICARE:   KAY FRANCES KELLY  MS, PT, NHA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT2035FL

General Provider Information

NPI Number : 1275609752
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAY FRANCES KELLY MS, PT, NHA
Provider Business Mailing Address
First Line : 7066 MICHIGAN ISLE RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-7764
Country : US
Telephone Number : 561-714-6583
Fax Number :
Provider Business Practice Location Address
First Line : 4920 LORING DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-8052
Country : US
Telephone Number : 561-623-2950
Fax Number : 561-623-2959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 02/05/2013

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