Most Relevant Information
Provider Data
| NPI Number: | 1003501438 |
| Provider Name: | SARA KELLY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2023 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
104 S FRONT AVE
PRESTONSBURG
KY
416531614
Practice Location Phone/Fax
| Phone: | 6068868572 |
| Fax: | 6068864433 |
Provider Mailing Location
104 S FRONT AVE
PRESTONSBURG
KY
416531614
Provider Mailing Phone/Fax
| Phone: | 6068868572 |
| Fax: | 6068864433 |