Individual
MR. DAVID ANDREW KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CIT-5052
Contact information
Practice address
19411 HELENBIRG RD STE 101, COVINGTON, LA 70433-5199
(985) 985-3172
Mailing address
PO BOX 4073, COVINGTON, LA 70434-4073
(985) 602-5253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5052
LA
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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