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1093397200
KELLY SOUTHWORTH
PRESTONSBURG, KY
NPI
1093397200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
KELLY SOUTHWORTH
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
KELLY SOUTHWORTH
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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