| Dr Kevin William Kelly, PSYD | |
|
2013 State Street, East Petersburg, PA 17520-1216 | |
| (717) 291-8283 | |
| (717) 581-6528 |
| Full Name | Dr Kevin William Kelly |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 2013 State Street, East Petersburg, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619984309 | NPI | - | NPPES |
| 000411068 | Other | PA | HIGHMARK BLUE SHIELD # |
| 01786901 | Other | PA | CAPITAL BLUE CROSS PROV# |
| 458436 | Other | PA | VALUE OPTIONS PROV # |
| P00180931 | Other | PA | RAILROAD MEDICARE PROV # |
| 02695800 | Other | PA | CAPITAL BLUE CROSS PRACT# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-008835-L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin William Kelly, PSYD 2013 State Street, East Petersburg, PA 17520-1216 Ph: (717) 291-8283 | Dr Kevin William Kelly, PSYD 2013 State Street, East Petersburg, PA 17520-1216 Ph: (717) 291-8283 |
William R Adams, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 717-560-1908 Fax: 717-560-4941 | |
Dr. Tammy Lucas King, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6079 Main Street, East Petersburg, PA 17520 Phone: 717-560-1908 Fax: 717-560-4941 | |
Dr. John C Grisbacher, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 717-560-1908 Fax: 717-560-4941 |