Individual
MCKENNA KELLEY
Active
Individual
MCKENNA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225800000X
Recreation Therapist
Primary
86171
MI
Other
Enumeration date
02/19/2024
Last updated
08/20/2025
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