Kenneth E Kelley, LSW

NPI #1760213391 in Clarkston, Washington

Provider Information

NPI Number: 1760213391
Entity Type: Individual
Name: Kenneth E Kelley, LSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Aug 14, 2024
Last Updated: Aug 14, 2024

Practice Location

Address: 1323 POPLAR ST
City: Clarkston
State: Washington
ZIP Code: 99403-2345
Phone: (509) 254-7725

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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