Clark, Kellsy

Clark, Kellsy is an individual health care provider with primary practice located at 13101 Eastpoint Park Blvd , Louisville KY 40223-4164. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Clark, Kellsy can be contacted via phone (502) 253-1293.

Contact Information

Primary practice address
13101 Eastpoint Park Blvd Louisville KY 40223-4164
Phone: (502) 253-1293
Fax: (502) 245-2034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1366998494
LBN Legal business name Clark, Kellsy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2016
Last updated Aug 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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