Kelley, John Edwin

Kelley, John Edwin is an individual health care provider with primary practice located at 390 North Loop Dr , Fort Irwin CA 92310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelley, John Edwin can be contacted via phone (760) 383-5289.

Contact Information

Primary practice address
390 North Loop Dr Fort Irwin CA 92310
Phone: (760) 383-5289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY6703 California

Profile Details

NPI number 1316186414
LBN Legal business name Kelley, John Edwin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2009
Last updated May 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers