Kelley, Brian W

Kelley, Brian W is an sole proprietor health care provider with primary practice located at 91-2135 Fort Weaver Rd Suite 501, Ewa Beach HI 96706-1940. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kelley, Brian W can be contacted via phone (808) 312-6800.

Contact Information

Primary practice address
91-2135 Fort Weaver Rd Suite 501 Ewa Beach HI 96706-1940
Phone: (808) 312-6800
Fax: (808) 680-0006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1353 Hawaii
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1353 Hawaii

Profile Details

NPI number 1104170935
LBN Legal business name Kelley, Brian W
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2012
Last updated Nov 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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