Individual
DR. KENNETH LEE SEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH, D,
Contact information
Practice address
150 N STATE ST, LA VERKIN, UT 84745-5503
(435) 635-6028
Mailing address
PO BOX 285, LA VERKIN, UT 84745-0285
(435) 635-6028
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
116404-2501
UT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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