Amanda Kay Kelly

NPI #1417654237 in Vine Grove, Kentucky

Provider Information

NPI Number: 1417654237
Entity Type: Individual
Name: Amanda Kay Kelly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 13, 2023
Last Updated: Feb 13, 2023

Practice Location

Address: 298 MEDLEY CT
City: Vine Grove
State: Kentucky
ZIP Code: 40175-8421
Phone: (270) 352-1133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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