Medina L Kelly, PH.D

NPI #1437209004 in Aspen, Colorado

Provider Information

NPI Number: 1437209004
Entity Type: Individual
Name: Medina L Kelly, PH.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D
Enumeration Date: Jan 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 405 CASTLE CREEK RD STE 9
City: Aspen
State: Colorado
ZIP Code: 81611-3125
Phone: (970) 920-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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