Organization
RONALD L. KELLEY PSC
Active
Other names
Kelley Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L. KELLEY M.D. (CEO)
(270) 898-4044
Entity
Organization
Contact information
Practice address
6025 KENTUCKY DAM RD, PADUCAH, KY 42003-9472
(270) 898-4044
(270) 898-4045
Mailing address
PO BOX 3126, PADUCAH, KY 42002-3126
(270) 898-4044
(270) 898-4045
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64151434
—
KY
Enumeration date
12/29/2005
Last updated
01/02/2012
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