KELLEY MAE HALL

LOUISVILLE, KY
NPI1215419031
Former NameKELLEY MAE KULCZYK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207NP0225X Dermatology, Pediatric Dermatology
(Licence: IN  31005998A)
Enumeration Date2018-08-29
Last Update Date2018-08-29
Business Address
Mrs. KELLEY MAE HALL MOTR/L
2701 CHESTNUT STATION COURT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
Mrs. KELLEY MAE HALL MOTR/L
18275 S BURR STREET
LOWELL, IN 46356
Phone number: 219-696-6750
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