Individual provider · Type 1 NPI

Evan Earle Kelley, MSPT, OCS

Specialist · Cheyenne, WY

NPI number 1679567499 Active

Practice location

6900 Alden Dr
Cheyenne, WY 82005-3906

Call (307) 773-3406 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X11277 (MA)

Specialist: 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.

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About NPI 1679567499

Evan Earle Kelley, MSPT, OCS's National Provider Identifier is 1679567499, issued on Sep 8, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cheyenne, WY. The record was last updated on Dec 5, 2007.