Kelly Lewis

NPI #1962804138 in Kennett, Missouri

Provider Information

NPI Number: 1962804138
Entity Type: Individual
Name: Kelly Lewis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Sep 19, 2014
Last Updated: Sep 19, 2014

Practice Location

Address: 925 HWY VV
City: Kennett
State: Missouri
ZIP Code: 63857-0071
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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