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NPI Profile for DAVID R KELLEY in WELLINGTON, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1447073903 |
|
| Status | Active | |
| Credentials | TS-LAC | |
| Entity | Individual | |
| Enumeration date | 11/04/2024 | |
| Last updated | 11/04/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAVID R KELLEY
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DAVID R KELLEY, TS-LAC