RONALD L. KELLEY PSC (NPI# 1891772059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891772059 |
| Entity Type | Organization |
| Organization Name | RONALD L. KELLEY PSC |
| Other Organization Name | KELLEY PSYCHIATRIC CLINIC |
| Practice Address |
6025 Kentucky Dam Rd Paducah KY 42003-9472 |
| Mailing Address |
Po Box 3126 Paducah KY 42002-3126 |
| Practice Telephone | 2708984044 |
| Practice Fax Number | 2708984045 |
| Mailing Telephone | 2708984044 |
| Mailing Fax Number | 2708984045 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2012-01-02 |
| Authorized Official Name | DR. RONALD L. KELLEY (CEO) |
| Authorized Official Telephone | 2708984044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64151434 | 05 |
| Other Name | Type Code |
|---|---|
| Kelley Psychiatric Clinic | Doing Business As Name - Organization |
| Street Address |
6025 KENTUCKY DAM RD |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-9472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023259512 | Robert Howard | Psychiatry & Neurology | 6025 Kentucky Dam Rd, Paducah, KY 42003-9472 | 2009-03-13 |
| 1235116203 | R. Gordon Williams | Psychologist | 6025 Kentucky Dam Rd, Paducah, KY 42003-9472 | 2005-12-29 |
| 1033196019 | Ronald L Kelley | Psychiatry & Neurology | 6025 Kentucky Dam Rd, Paducah, KY 42003-9472 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809997 | Duncan Edward Darnell | Psychiatry & Neurology | 425 Broadway St, Paducah, KY 42001-0713 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306371067 | Mohammed R Movahid | Psychiatry & Neurology | Graduate Medical Education 800 Rose Street Room Hq-101, Lexington, KY 40536-0293 | 2017-05-01 |
| 1336534437 | Nicole I Goodin | Psychiatry & Neurology | 649 Chamberlin Ave, Frankfort, KY 40601-4288 | 2015-04-06 |
| 1356736896 | Tymberly Seim | Psychiatry & Neurology | 200 E Chestnut St Ste 200, Louisville, KY 40202-1847 | 2015-04-01 |
| 1285037713 | Courtney Brown Snyder | Psychiatry & Neurology | 5223 Indian Woods Dr, Louisville, KY 40207-2078 | 2014-09-29 |
| 1629416854 | Ball Consulting, Inc | Psychiatry & Neurology | 732 Greenridge Ln, Louisville, KY 40207-1331 | 2013-06-10 |
| 1467896845 | Andrew Russell Roads | Psychiatry & Neurology | Uk University Health Service, 830 S Limestone, Lexington, KY 40508 | 2013-04-29 |
| 1154458776 | Christine Beate Lieber Adams | Psychiatry & Neurology | 1430 Sylvan Way, Louisville, KY 40205-2484 | 2007-02-28 |
| 1851432199 | Julia M. Robertson | Psychiatry & Neurology | 3 River Hill Rd, Louisville, KY 40207-1191 | 2007-02-09 |
| 1124046552 | Elvira Drljevic Md Psc | Psychiatry & Neurology | 3814 Stone River Ct, Louisville, KY 40299-6543 | 2006-07-17 |
| 1245255504 | Michael Reid Mayo | Psychiatry & Neurology | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2006-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.