Kellye Michelle Adams, OTR/L

Individual provider Active NPI Occupational Therapist · Paintsville, KY

NPI 1134490295 · NPPES record last updated Jan 21, 2012

Key facts

NPI
1134490295
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
R4674 (KY)
Practice address
111 Tulip St
Paintsville, KY 41240-9305
Phone
(859) 539-7004
NPI assigned
Jan 21, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X R4674 KY Yes

Addresses

Primary practice location

111 Tulip St
Paintsville, KY 41240-9305

Mailing address

PO Box 548
Paintsville, KY 41240-0548

Other providers in Paintsville, KY

All providers in Paintsville, KY · Occupational Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.