Individual
SEAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4465 NORTHPARK DR STE 309, COLORADO SPRINGS, CO 80907-4238
(719) 464-3163
(719) 452-3713
Mailing address
827 VALLEY RD, COLORADO SPRINGS, CO 80904-1510
(719) 464-3163
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3110
CO
Other
Enumeration date
06/20/2016
Last updated
04/11/2022
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