Individual
JANE H KELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
7300 HAW RIDGE RD, SUMMERFIELD, NC 27358-9374
(336) 644-1051
(336) 644-6660
Mailing address
7300 HAW RIDGE RD, SUMMERFIELD, NC 27358-9374
(336) 644-1051
(336) 644-6660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6107080
—
NC
Enumeration date
02/09/2007
Last updated
07/08/2007
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