Kelley, Kevin J.

Kelley, Kevin J. is an individual health care provider with primary practice located at 530 Union Blvd , Allentown PA 18109-3230. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Adult Development & Aging is his primary health care specialty. Kelley, Kevin J. can be contacted via phone (610) 435-1541.

Contact Information

Primary practice address
530 Union Blvd Allentown PA 18109-3230
Phone: (610) 435-1541
Fax: (610) 435-4367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X PS005818L Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS005818L Pennsylvania

Profile Details

NPI number 1093847584
LBN Legal business name Kelley, Kevin J.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2007
Last updated Nov 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093847584 NPPES
Pennsylvania Other 763740 BLUE SHIELD

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