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Contact Information

KAYLEENA KELLY, PSY.D.
1020 KABLE AVE
RHINELANDER, WI54501
 Phone: 715-361-2805
 Fax: 715-361-2920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KAYLEENA KELLY · (Female)

NPI Number 1316337165
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 02/02/2015
Last updated 07/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY60651404
  • WI License # 3242-57
Hospital affiliation(s)
  • MINISTRY ST MARYS HOSPITAL - (Acute Care)
    2251 NORTH SHORE DR
    RHINELANDER, WI 54501
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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