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Kevin Thomas Kelly, Ph.D.

Psychologist in Ukiah, CA. Individual provider (NPI-1).

NPI number1508059080
StatusActive
Last updated in NPPESAug 20, 2007

Details

NPI
1508059080
Entity type
Individual (NPI-1)
Name
Kevin Thomas Kelly
Credential
Ph.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 20, 2007
Last updated
Aug 20, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistPSY9275CAYes

Practice location

598 Cochrane Ave
Ukiah, CA 95482-5621

Phone 707-463-1447 · Fax 866-204-9690

Mailing address

598 Cochrane Ave
Ukiah, CA 95482-5621

Phone 707-463-1447 · Fax 866-204-9690

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