MR. Evan Earle Kelley, MSPT, OCS

NPI #1679567499 in Cheyenne, Wyoming

Provider Information

NPI Number
1679567499
Entity Type
Individual
Name
MR. Evan Earle Kelley, MSPT, OCS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
MSPT, OCS
Enumeration Date
Sep 8, 2005
Last Updated
Dec 5, 2007

Practice Location

Address
6900 ALDEN DR
State
Wyoming
ZIP Code
82005-3906
Phone
(307) 773-3406

Specialties & Taxonomy Codes

Specialty
Specialist

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