Individual
GERALD KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 PINEY FOREST RD STE 403, DANVILLE, VA 24540-2870
(434) 799-7732
Mailing address
PO BOX 10864, DANVILLE, VA 24543-5015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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