KELLY SOUTHWORTH

PRESTONSBURG, KY
NPI1093397200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-04-27
Last Update Date2021-04-27
Business Address
KELLY SOUTHWORTH
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
Mailing Address
KELLY SOUTHWORTH
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572