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Organization
RONALD L. KELLEY PSC
Active
Organization
RONALD L. KELLEY PSC
Active
Other names
Kelley Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L. KELLEY M.D. (CEO)
(270) 898-4044
Entity
Organization
Contact information
Practice address
6025 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
(270) 898-4044
(270) 898-4045
Mailing address
PO BOX 3126, PADUCAH, KY 42002-3126
(270) 898-4044
(270) 898-4045
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/29/2005
Last updated
01/02/2012
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