Individual
DR. KATHLEEN J KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1701 NE 42ND AVE, STE 102, OCALA, FL 34470
(352) 351-4940
(352) 351-8902
Mailing address
6651 SE 8TH ST RD, OCALA, FL 34472
(352) 454-4701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75334
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/26/2006
Last updated
07/08/2007
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