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NPI Code Detail

MEDICARE: BAYLEN KELLEY DPT, PT

MEDICARE: BAYLEN KELLEY DPT, PT
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 Therapist11-07736KS

General Provider Information

NPI Number : 1306664032
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAYLEN KELLEY DPT, PT
Provider Business Mailing Address
First Line : 8800 PENROSE LN APT 458
Second Line :
City : LENEXA
State : KS
Zip : 66219-8169
Country : US
Telephone Number : 913-617-3474
Fax Number :
Provider Business Practice Location Address
First Line : 3910 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2946
Country : US
Telephone Number : 913-588-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2024
Last Update Date : 10/01/2024

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Directions to “ BAYLEN KELLEY DPT, PT” Practice Location

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