Individual
JENNIFER KELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 SE WILSON AVE, BEND, OR 97702-1417
(508) 479-9140
Mailing address
617 SE WILSON AVE, BEND, OR 97702-1417
(508) 479-9140
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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