RONALD L. KELLEY PSC NPI 1891772059

NPI Information

  • NPI: 1891772059
  • Provider Name: RONALD L. KELLEY PSC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Doing Business As: KELLEY PSYCHIATRIC CLINIC
  • Address: 6025 KENTUCKY DAM RD
    PADUCAH, KY
    ZIP 42003
  • Phone: (270) 898-4044

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NPI Details

RONALD L. KELLEY PSC is a child and adolescent psychiatry psychiatry neurology in Paducah, KY. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. RONALD L. KELLEY PSC NPI is 1891772059. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kelley Psychiatric Clinic.

The provider's business location address is:

6025 KENTUCKY DAM RD
PADUCAH, KY
ZIP 42003-472
Phone: (270) 898-4044
Fax: (270) 898-4045

The provider's authorized official is Ronald L. Kelley .
The authorized official title is Ceo and has the following contact phone number (270) 898-4044.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 1/2/2012.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C71252MEDICARE UPINKENTUCKY
21879MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
364151434MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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