| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLSEY JEAN KLOKER | 1104562610 | 2022-05-08 |
Kellsey Jean Kloker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104562610. Registration indicates Kellsey Jean Kloker is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Kellsey Jean Kloker BS, MS OTR/L |
| Practice Office Address | 7985 KNIGHT RD GAINESVILLE, GA US |
| Practice Office Telephone | 7707814899 |
| Practice Office Fax | 7707814094 |
| Mailing Address | 1599 CREEK MILL TRCE LAWRENCEVILLE, GA 300446176 US |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | OT008372
GA |