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Contact Information

KATHLEEN J KELLY, PHD
1701 NE 42ND AVE
STE 102
OCALA, FL34470
 Phone: 352-351-4940
 Fax: 352-351-8902
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATHLEEN J KELLY · (Female)

NPI Number 1053334151
Status Active
Credentials PHD
Entity Individual
Enumeration date 07/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PY7221
  • FL Other 75334 BLUE CROSS 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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