Individual
MR. DENNIS RICHARD KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
7737E
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S531
BCBS
AR
Enumeration date
08/04/2006
Last updated
09/06/2023
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