Individual
DR. RON ANTON KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
30 GREENWAY ST NW, SUITE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
Mailing address
10227 DOTTYS WAY, COLUMBIA, MD 21044-3886
(301) 233-4658
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04369
MD
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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