| Doctor Name: | DR. DAVID B KELLEY |
| NPI Number: | 1174565121 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 31422 |
| Business Practice Address: | 215 Bufkin Ln Lockhart, TX - 786444007 |
| Business Phone Number: | 5123984896 |
| Business Fax Number: | |
| Mailing Address: | 215 Bufkin Ln, LOCKHART |
| State: | TX |
| Postal Code: | 786444007 |
| Phone Number: | 5123984896 |
| Fax Number: | 5123984896 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 08/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 31422 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |