Peacock, Kelly Denice

Peacock, Kelly Denice is an individual health care provider with primary practice located at 251 Highway 66 , New Harmony IN 47631-9075. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Peacock, Kelly Denice can be contacted via phone (812) 682-4104.

Contact Information

Primary practice address
251 Highway 66 New Harmony IN 47631-9075
Phone: (812) 682-4104
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 32001225A Indiana

Profile Details

NPI number 1427320274
LBN Legal business name Peacock, Kelly Denice
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2012
Last updated Feb 8th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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