Individual
MR. KENNETH GREGORY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST-M.A.
Contact information
Practice address
2297 KNOWLES FLAT RD, EDEN, VT 05652
(802) 635-9595
(802) 635-7755
Mailing address
PO BOX 1401, MORRISVILLE, VT 05661-1401
(802) 635-9595
(802) 635-7755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
VT
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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