Individual
DR. KELLY K COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., ABPP, RD
Contact information
Practice address
2113 MCKINLEY ST, HONOLULU, HI 96822-2133
(808) 286-2659
Mailing address
2113 MCKINLEY ST, HONOLULU, HI 96822-2133
(808) 286-2659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY-1225
HI
103TC0700X
Clinical Psychologist
Primary
PY 60130390
WA
133V00000X
Registered Dietitian
60056916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H00433047
DRIVERS LICENSE
HI
Enumeration date
09/17/2009
Last updated
02/23/2024
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