Individual
MATTHEW DEAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
106 W BROADWAY ST, NEWTON, KS 67114-2101
(316) 288-3504
Mailing address
106 W BROADWAY ST, NEWTON, KS 67114-2101
(316) 288-3504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
05662
KS
Other
Enumeration date
06/01/2017
Last updated
07/14/2022
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