Kevin J. Kelley in Allentown - Adult Development & Aging

Kevin J. Kelley - NPI 1093847584

Kevin J. Kelley is a Adult Development & Aging in Allentown, Pennsylvania. Kevin J. Kelley practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Kevin J. Kelley is 1093847584. The last update date is 2014-11-03.

Kevin J. Kelley's current location address is 530 Union Blvd, Allentown, Pennsylvania. You can contact this provider via phone number 6104351541 and fax number 6104354367. The mailing address for Kevin J. Kelley is 530 Union Blvd, Allentown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin J. Kelley
Address 530 Union Blvd, Allentown, Pennsylvania
Phone Number 6104351541
Fax Number 6104354367
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1093847584
Provider Enumeration Date 2007-03-10
Last Updated Date 2014-11-03

Provider Mailing Address Detail

Address 530 Union Blvd
City Allentown
State Pennsylvania (PA)
Post Code 181093230
Phone Number 6104351541
Fax Number 6104354367

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No PS005818L
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
763740 PA BLUE SHIELD

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FAQs about Kevin J. Kelley

What is the unique 10-digit identifier code assigned to Kevin J. Kelley by the Centers for Medicare & Medicaid Services?

The Kevin J. Kelley has been issued the NPI (National Provider Identifier) 1093847584 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Kevin J. Kelley's physical address?

The Kevin J. Kelley is physically located at 530 Union Blvd, in the city of Allentown, PA, with the postal code 181093230.

What is Kevin J. Kelley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin J. Kelley's area of specialization is Adult Development & Aging, and the corresponding taxonomy code that categorizes this field of practice is 103Ta0700X.

When did Kevin J. Kelley receive its 1093847584 assignment?

The Kevin J. Kelley was assigned its 1093847584 on 2007-03-10, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Kevin J. Kelley most recently updated or revised?

The information pertaining to Kevin J. Kelley, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-03.

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