Forrest Robert Kelley

NPI #1932934064 in Wasilla, Alaska

Provider Information

NPI Number: 1932934064
Entity Type: Individual
Name: Forrest Robert Kelley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 6, 2024
Last Updated: Sep 6, 2024

Practice Location

Address: 2650 E BROADVIEW AVE
City: Wasilla
State: Alaska
ZIP Code: 99654-8302
Phone: (907) 313-1333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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