NPI 1063875185
Jessica Kelley
Practice location
- Address
- 200 Beatty St, Medford, OR 97501-5811
- Phone
- (541) 476-2373
- Mailing address
- 1215 SW G St, Grants Pass, OR 97526-2544
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1063875185
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Apr 2016
- Record last updated
- 7 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.