Manny Brice Kelly, LPT
NPI #1003479320 in San Bernardino, California
Provider Information
- NPI Number
- 1003479320
- Entity Type
- Individual
- Name
- Manny Brice Kelly, LPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Credential
- LPT
- Enumeration Date
- Apr 22, 2019
- Last Updated
- Apr 22, 2019
Practice Location
- Address
- 1481 WINDSOR DR
- City
- San Bernardino
- State
- California
- ZIP Code
- 92404-5416
- Phone
- (909) 361-6472
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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