Individual
MR. DAVID ROBERT KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TS-LAC
Contact information
Practice address
1601 W 16TH ST., WELLINGTON, KS 67152
(620) 326-7448
Mailing address
1601 W 16TH ST., WELLINGTON, KS 67152
(620) 326-7448
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01946
KS
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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