Individual
CHRISTOPHER E KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY5175
CO
103T00000X
Psychologist
PSYC13966
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSYC.0013966
—
CO
Enumeration date
09/23/2019
Last updated
03/30/2020
Update your record
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