Individual
PATRICK WILLIAM KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(405) 689-9820
(855) 915-1521
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1031
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-375242
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/31/2023
Last updated
09/13/2024
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