| Doctor Name: | MR. KELLY D KELLEY |
| NPI Number: | 1487876264 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ACA, NBC-H.I.S. |
| License Number: | TX50601 |
| Business Practice Address: | 3320 Pecan Valley Dr Suite E. Temple, TX - 765021569 |
| Business Phone Number: | 2547420580 |
| Business Fax Number: | 2547420967 |
| Mailing Address: | 3320 Pecan Valley Dr, Suite E. TEMPLE |
| State: | TX |
| Postal Code: | 765021569 |
| Phone Number: | 2547420580 |
| Fax Number: | 2547420967 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 06/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | TX50601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |