Kenneth Kelly
NPI #1336364660 in Aztec, New Mexico
Provider Information
- NPI Number
- 1336364660
- Entity Type
- Individual
- Name
- Kenneth Kelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Aug 18, 2010
Practice Location
- Address
- 1118 W AZTEC BLVD
- City
- Aztec
- State
- New Mexico
- ZIP Code
- 87410-1818
- Phone
- (505) 334-3695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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