Individual
DR. DAVID B KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1010 FIR LN, LOCKHART, TX 78644-2059
(512) 398-4896
Mailing address
815 W PRAIRIE LEA ST, LOCKHART, TX 78644-2555
(512) 398-4896
(512) 398-4896
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31422
TX
103TC0700X
Clinical Psychologist
31422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000042ME
BCBS PRIVATE PRACTICE
TX
05
—
1409500-02
—
TX
Enumeration date
06/12/2006
Last updated
03/27/2017
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