DR. Kevin James Kelly, PH.D.

NPI #1760597421 in Pagosa Springs, Colorado

Provider Information

NPI Number: 1760597421
Entity Type: Individual
Name: DR. Kevin James Kelly, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Aug 20, 2006
Last Updated: Mar 8, 2017

Practice Location

Address: 2800 CORNERSTONE DRIVE
Address 2: SUITE 110
City: Pagosa Springs
State: Colorado
ZIP Code: 81147
Phone: (505) 699-0824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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