Individual
MARY L KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3444
(859) 426-7800
(859) 426-7804
Mailing address
PO BOX 17277, COVINGTON, KY 41017-0277
(859) 426-7800
(859) 426-7804
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1203
KY
Other
Enumeration date
05/26/2006
Last updated
05/15/2008
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