Whalio Doctors

NPI 1104170935

Brian W Kelley, PSYD

Practitioner Clinical Neuropsychologist Ewa Beach, HI

Practice location

Address
91-2135 Fort Weaver Rd Suite 501, Ewa Beach, HI 96706-1940
Phone
(808) 312-6800
Fax
(808) 680-0006

Registered specialties (2)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1353 (HI)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1353 (HI)

Registry record

NPI
1104170935
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2012
Record last updated
4 Nov 2014

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.