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Contact Information

KELLY ANDERSON, COTA
9 WAVELAND AVE
WINCHESTER, KY40391-1231
 Phone: 855-584-5845
 Fax: 800-584-1465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KELLY ANDERSON · (Female)

NPI Number 1750632014
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 09/27/2012
Last updated 09/27/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # A5335
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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