Doctor Name: | MR. ROBERT O. KELLEY |
NPI Number: | 1477697878 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. |
License Number: | 017 |
Business Practice Address: | 225 Lee Hook Rd Lee, NH - 038246415 |
Business Phone Number: | 6036828265 |
Business Fax Number: | 6036795869 |
Mailing Address: | 225 Lee Hook Rd, LEE |
State: | NH |
Postal Code: | 038246415 |
Phone Number: | 6036828265 |
Fax Number: | 6036795869 |
NPI Enumeration Date: | 02/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 017 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |