DR. Jake Kelly

NPI #1386094993 in Wasco, California

Provider Information

NPI Number: 1386094993
Entity Type: Individual
Name: DR. Jake Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Forensic
Enumeration Date: Jun 14, 2016
Last Updated: Jun 14, 2016

Practice Location

Address: 701 SCOFIELD AVE
City: Wasco
State: California
ZIP Code: 93280-7515
Phone: (661) 758-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Forensic — Forensic	103TF0200X	Primary

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