Individual
AMY S KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN,AAPS
Contact information
Practice address
1721 E OSAGE RD, SUITE 200, DERBY, KS 67037-2092
(316) 788-1800
(316) 788-1815
Mailing address
1721 E OSAGE RD, SUITE 200, DERBY, KS 67037-2092
(316) 788-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AAPS
KS
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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