Mr Kenneth Gregory Kelly, PSYCHOLOGIST-MA - Psychologist in Eden, VT

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Mr Kenneth Gregory Kelly, PSYCHOLOGIST-MA is a Psychologist - Clinical based in Eden, Vermont. Mr Kenneth Gregory Kelly is licensed to practice in Vermont (license number ) and his current practice location is 2297 Knowles Flat Rd, Eden, Vermont. He can be reached at his office (for appointments etc.) via phone at (802) 635-9595.

NPI number for Mr Kenneth Gregory Kelly is 1205052487 and his current mailing address is Po Box 1401, Morrisville, Vermont. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205052487.

Contact Information

Mr Kenneth Gregory Kelly, PSYCHOLOGIST-MA
2297 Knowles Flat Rd,
Eden, VT 05652
(802) 635-9595
(802) 635-7755

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Healthcare Provider's Profile

Full NameMr Kenneth Gregory Kelly
GenderMale
SpecialityPsychologist - Clinical
Location2297 Knowles Flat Rd, Eden, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205052487
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Kenneth Gregory Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205052487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (Vermont)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Gregory Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth Gregory Kelly, PSYCHOLOGIST-MA
Po Box 1401,
Morrisville, VT 05661-1401

Ph: (802) 635-9595		Mr Kenneth Gregory Kelly, PSYCHOLOGIST-MA
2297 Knowles Flat Rd,
Eden, VT 05652

Ph: (802) 635-9595

Reviews and Comments


Psychologist in Eden, VT


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