MR. EVAN EARLE KELLEY MSPT OCS NPI 1679567499

NPI Information

MR. Evan Earle Kelley, MSPT, OCS is a specialist in Cheyenne, WY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Evan Earle Kelley, MSPT, OCS NPI is 1679567499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6900 ALDEN DR
CHEYENNE, WY
ZIP 82005-906
Phone: (307) 773-3406

The enumeration date for this NPI number is 9/8/2005 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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