| Kaelyn Broell, OTD | |
|
520 Woodlake Dr, Mount Washington, KY 40047-5123 | |
| (502) 538-3172 | |
| Not Available |
| Full Name | Kaelyn Broell |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 520 Woodlake Dr, Mount Washington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467199331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 277298 (Kentucky) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770054686 PECOS PAC ID: 6507832573 Enrollment ID: O20190211002009 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaelyn Broell, OTD 131 N Howard St, Bardstown, KY 40004-8115 Ph: () - | Kaelyn Broell, OTD 520 Woodlake Dr, Mount Washington, KY 40047-5123 Ph: (502) 538-3172 |
Jennifer L Penland, OTR/L, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 127 Misty Brooke Dr, Mount Washington, KY 40047 Phone: 502-507-3841 | |
Aegis Group Practice Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 Woodlake Dr, Mount Washington, KY 40047 Phone: 479-201-6091 | |
Kimberly Brooke Kissell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Blackberry Cir, Mount Washington, KY 40047 Phone: 502-649-3044 |