Kelly Gillette, LCP

NPI #1275620148 in Pittsburg, Kansas

Provider Information

NPI Number: 1275620148
Entity Type: Individual
Name: Kelly Gillette, LCP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: LCP
Enumeration Date: Oct 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 911 E CENTENNIAL DR
City: Pittsburg
State: Kansas
ZIP Code: 66762-6601
Phone: (620) 231-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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