# RONALD L. KELLEY PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kelley Psychiatric Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891772059
- **Authorized official:** DR. RONALD L. KELLEY M.D. (CEO)
- **Authorized official phone:** (270) 898-4044

## Contact information

- **Practice address:** 6025 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
- **Practice address phone:** (270) 898-4044
- **Practice address fax:** (270) 898-4045
- **Mailing address:** PO BOX 3126, PADUCAH, KY 42002-3126
- **Mailing address phone:** (270) 898-4044
- **Mailing address fax:** (270) 898-4045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 01/02/2012