Individual
DR. BRIAN W KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
91-2135 FORT WEAVER RD, SUITE 501, EWA BEACH, HI 96706-1940
(808) 312-6800
(808) 680-0006
Mailing address
91-2135 FORT WEAVER RD, SUITE 501, EWA BEACH, HI 96706-1940
(808) 312-6800
(808) 680-0006
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1353
HI
103TC0700X
Clinical Psychologist
1353
HI
Other
Enumeration date
10/31/2012
Last updated
11/04/2014
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