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Contact Information

KEVIN J KELLEY, PhD
530 UNION BLVD
ALLENTOWN, PA18109-3230
 Phone: 610-435-1541
 Fax: 610-435-4367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KEVIN J KELLEY · (Male)

NPI Number 1093847584
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/10/2007
Last updated 11/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PS005818L
  • PA Other 763740 BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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