Individual
DR. PATRICIA A. KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6005 PARK AVENUE, SUITE 512, MEMPHIS, TN 38119-5215
(901) 761-2370
(901) 761-2896
Mailing address
6005 PARK AVENUE, SUITE 512, MEMPHIS, TN 38119-5215
(901) 761-2370
(901) 761-2896
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1484
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3683352
—
TN
01
—
4042320
BCBST
TN
01
—
4131554
AETNA
TN
Enumeration date
08/10/2006
Last updated
02/22/2010
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