| Doctor Name: | RONNIE E. KELLY |
| NPI Number: | 1093957599 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMBT |
| License Number: | 3779 |
| Business Practice Address: | 23 Hensley Cir Suite D Sylva, NC - 287792834 |
| Business Phone Number: | 8285865333 |
| Business Fax Number: | |
| Mailing Address: | 41 Iceburg Ln, SYLVA |
| State: | NC |
| Postal Code: | 287798780 |
| Phone Number: | 8285067010 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2009 |
| NPI Last Update Date: | 03/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 3779 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |