Dr. Kevin J. Kelley
Adult Development & Aging Psychologist Clinical Child & Adolescent Psychologist
530 Union Blvd
Allentown
, Pennsylvania 18109-3230
Dr. Kevin J. Kelley
Adult Development & Aging Psychologist Clinical Child & Adolescent Psychologist
530 Union Blvd
Allentown
, Pennsylvania 18109-3230
(610) 435-4367
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About
Features
Specialties
- Adult Development & Aging Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Kevin J. Kelley
- 530 Union Blvd
- Allentown, PA
- Zip : 18109-3230
- Fax : (610) 435-4367
- Phone : (610) 435-1541
Second Address
- Dr. Kevin J. Kelley
- 530 Union Blvd
- Allentown, PA
- Zip : 18109-3230
- Fax : (610) 435-4367
- Phone : (610) 435-1541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0700X | Adult Development & Aging Psychologist | PS005818L | PA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS005818L | PA |
National Provider Identifier
| NPI | 1093847584 |
|---|---|
| Provider Name | Dr. Kevin J. Kelley |
| First Address | Allentown, PA 18109-3230 |
| Second Address | Allentown, PA 18109-3230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2007 |
| Last Update Date | 03/11/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 763740 | BLUE SHIELD (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.