Provider Demographics
NPI:1275609752
Name:KELLY, KAY FRANCES (MS, PT, NHA)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:FRANCES
Last Name:KELLY
Suffix:
Gender:F
Credentials:MS, PT, NHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7066 MICHIGAN ISLE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7764
Mailing Address - Country:US
Mailing Address - Phone:561-714-6583
Mailing Address - Fax:
Practice Address - Street 1:4920 LORING DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8052
Practice Address - Country:US
Practice Address - Phone:561-623-2950
Practice Address - Fax:561-623-2959
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT2035225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist