Individual
JOSEPH G KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5173
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN92446054
FL
Other
Enumeration date
12/27/2007
Last updated
03/09/2020
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