MR. DAN KELLY
Adult Companion
Active
Individual
NPI: 1285952101
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | No | - |
| Chore Provider | 372500000X | No | - |
| Adult Companion | 372600000X | Yes | - |
Frequently Asked Questions
NPI 1285952101 is the National Provider Identifier for MR. DAN KELLY, a Adult Companion provider located in Shady Cove, OR. This NPI was enumerated on May 17, 2010.
MR. DAN KELLY practices at 120 BIRCH ST, Shady Cove, OR 97539.
Quick Facts
- NPI
- 1285952101
- Type
- Individual
- Enumerated
- May 17, 2010
- Last Updated
- May 17, 2010
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