Individual
DR. KELLY LOWELL HERN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
102 DEEPSTEP RD NE, MILLEDGEVILLE, GA 31061-9511
(478) 453-1146
(478) 453-1146
Mailing address
102 DEEPSTEP RD NE, MILLEDGEVILLE, GA 31061-9511
(478) 453-1146
(478) 453-1146
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
20040782A
IN
103G00000X
Clinical Neuropsychologist
KY-0862
KY
103G00000X
Clinical Neuropsychologist
PSY001660
GA
103T00000X
Psychologist
Primary
20040782A
IN
103T00000X
Psychologist
KY-0862
KY
103T00000X
Psychologist
PSY1660
GA
103TF0200X
Forensic Psychologist
PSY001660
GA
Other
Enumeration date
06/21/2006
Last updated
09/11/2025
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