Individual ProviderKelly BornPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address402 N Hillcrest Ave, Wichita, KS 67208-4216(316) 641-6350PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Born does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083045009Provider TypeIndividualFull NameBorn, KellyGenderFemaleSole ProprietorNoEnumeration Date12/1/2013Last Updated12/1/2013Contact InformationPractice LocationPractice Address402 N Hillcrest Ave, Wichita, KS 67208-4216Phone(316) 641-6350FaxUnlisted FaxMailing LocationMailing Address2123 N Keeneland Cir, Wichita, KS 67206-4458Phone(316) 641-6350FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11-01624Kansas