Jeff Kelly PSY.D.

NPI 1669631065 - Psychologist - 103T00000X

NPI Details
NPI 1669631065
Gender Male
Enumeration Date 06/02/2008
Last Updated 07/24/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1505 LAKE EARL DR
CRESCENT CITY CA, 95532-0001, US
Phone (707) 465-1000
Fax
Business Location
5905 LAKE EARL DR
CRESCENT CITY CA, 95532-0001, US
Phone (707) 465-1000
Fax
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number PSY20204
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According to our database, Dr. Jeff Kelly PSY.D. NPI is 1669631065, taxonomy code is 103T00000X and license number is PSY20204, license state is located at California. Jeff Kelly PSY.D. physically located at 1505 Lake Earl Dr, Crescent City CA, 95532-0001. NPI Number Jeff Kelly PSY.D. has the Individual type.

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1669631065 NPI number is provided on an as is basis without warranty of any kind. 1669631065 is maintained by the National Plan & Provider Enumeration System. The contents of Jeff Kelly PSY.D. are for informational purposes only.