MR. Dan Dale Kelly
NPI #1285952101 in Shady Cove, Oregon
Provider Information
- NPI Number
- 1285952101
- Entity Type
- Individual
- Name
- MR. Dan Dale Kelly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Adult Companion
- Enumeration Date
- May 17, 2010
- Last Updated
- May 17, 2010
Practice Location
- Address
- 120 BIRCH ST
- City
- Shady Cove
- State
- Oregon
- ZIP Code
- 97539
- Phone
- (541) 878-2429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
| Chore Provider |
| Adult Companion |
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