Kelly, Paul Edward

Kelly, Paul Edward is an individual health care provider with primary practice located at 3698 Seabass Rd , Decatur GA 30034-6954. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kelly, Paul Edward can be contacted via phone (404) 244-8836.

Contact Information

Primary practice address
3698 Seabass Rd Decatur GA 30034-6954
Fax: (404) 244-9611
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1841352895
LBN Legal business name Kelly, Paul Edward
Credentials MENTAL HEALTH CLINIC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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