Individual
ROGER BRUCE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
525 N 12TH ST STE 100, LEMOYNE, PA 17043-1244
(717) 730-0733
(717) 730-0696
Mailing address
525 N 12TH ST STE 100, LEMOYNE, PA 17043-1244
(717) 730-0733
(717) 730-0696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005648L
PA
Other
Enumeration date
09/21/2006
Last updated
11/08/2023
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