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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DAN DALE KELLY

Active Sole Proprietor

MR. DAN DALE KELLY is a Adult Companion healthcare provider located in SHADY COVE, Oregon. NPI 1285952101 is currently active in the NPPES registry. Verify at CMS.

Adult Companion · SHADY COVE, OR

Registration Details

NPI Number
1285952101
Provider Type
Individual
Gender
Male
NPI Issued
May 17, 2010 (16.216858395215 yrs)
Last Updated
May 17, 2010
Sole Proprietor
Yes

Practice Information

Address
120 BIRCH ST
SHADY COVE, OR, 97539
Browse OR providers · Browse ZIP 97539
Phone
5418782429
Primary Specialty
Adult Companion
372600000X
Additional Specialty
Chore Provider
Additional Specialty
Adult Companion
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.