Individual
ROBERT KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 GREEN GARDEN RD, ALIQUIPPA, PA 15001-1029
(724) 601-7197
Mailing address
3707 GREEN GARDEN RD, ALIQUIPPA, PA 15001-1029
(724) 601-7197
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
WV
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/22/2020
Last updated
01/04/2021
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