| Kelly Keyser, Llc | |
|
4500 Hugh Howell Rd Ste 410 Tucker GA 30084-4732 | |
| (404) 436-1774 | |
| Not Available |
| Full Name | Kelly Keyser, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4500 Hugh Howell Rd Ste 410, Tucker, Georgia |
| Authorized Official Name and Position | Kelly L Keyser (DIRECTOR) |
| Authorized Official Contact | 4044361774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Keyser, Llc 4500 Hugh Howell Rd Ste 410 Tucker GA 30084-4732 Ph: (404) 436-1774 | Kelly Keyser, Llc 4500 Hugh Howell Rd Ste 410 Tucker GA 30084-4732 Ph: (404) 436-1774 |
| NPI Number | 1093546343 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093546343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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