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Individual
MR. RONALD W KELLEY
Active
Individual
MR. RONALD W KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00107383
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40-4702665
—
MI
01
—
46-31868
UNITED HEALTHCARE INSURANCE
—
Enumeration date
05/04/2009
Last updated
05/04/2009
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