Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN W KELLEY, PSYD
Active Sole ProprietorDR. BRIAN W KELLEY, PSYD is a Clinical Neuropsychologist healthcare provider located in EWA BEACH, Hawaii. NPI 1104170935 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · EWA BEACH, HI
Registration Details
- NPI Number
- 1104170935
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2012 (13.821769352341 yrs)
- Last Updated
- Nov 4, 2014
- Licenses
-
1353 (HI)1353 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
91-2135 FORT WEAVER RDSUITE 501EWA BEACH, HI, 967061940Browse HI providers · Browse ZIP 96706
- Phone
- 8083126800
- Fax
- 8086800006
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.