Individual
MR. ADRIAN JOSEPH KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
601 S US HIGHWAY 169, SMITHVILLE, MO 64089-9317
(816) 702-6365
Mailing address
330 S FAIRVIEW AVE, LIBERTY, MO 64068-2213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021044663
MO
Other
Enumeration date
11/03/2021
Last updated
12/15/2021
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