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Contact Information

KELLI L FETTER, OT
1900 MIDLAND TRAIL
STE 1 & 2
SHELBYVILLE, KY40065
 Phone: 502-633-1007
 Fax: 502-437-0624
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KELLI L FETTER · (Female)

NPI Number 1124335401
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 09/08/2010
Last updated 03/18/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • KY License # R4583
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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