Individual
BRANDON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 329-8558
Mailing address
3701 LANDSDOWNE DR, ASHLAND, KY 41102-5422
(606) 329-8558
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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