Kelly Lord

NPI #1003662552 in Wichita, Kansas

Provider Information

NPI Number: 1003662552
Entity Type: Individual
Name: Kelly Lord
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 25, 2024
Last Updated: Apr 25, 2024

Practice Location

Address: 1319 W MAY ST
City: Wichita
State: Kansas
ZIP Code: 67213-3505
Phone: (316) 223-7159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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