Individual
PATRICK WILLIAM KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1031
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
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
07/15/2026
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