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Contact Information

KENNETH G KELLY, PSYCHOLOGIST-M.A.
2297 KNOWLES FLAT RD
EDEN, VT05652
 Phone: 802-635-9595
 Fax: 802-635-7755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENNETH G KELLY · (Male)

NPI Number 1205052487
Status Active
Credentials PSYCHOLOGIST-M.A.
Entity Individual
Enumeration date 04/17/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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