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Individual
EDWARD LESLIE KELLY
Active
Individual
EDWARD LESLIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
10382404-1205
UT
2084F0202X
Forensic Psychiatry Physician
26951
NE
2084F0202X
Forensic Psychiatry Physician
42929
MN
2084F0202X
Forensic Psychiatry Physician
MD00040860
WA
2084P0800X
Psychiatry Physician
26951
NE
2084P0800X
Psychiatry Physician
MD00040860
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00040860
WA
2084P0805X
Geriatric Psychiatry Physician
MD00040860
WA
Other
Enumeration date
01/05/2006
Last updated
03/24/2025
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