JACK KELLEY

HOPKINSVILLE, KY
NPI1417030461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2006-10-23
Last Update Date2007-07-08
Business Address
-- JACK KELLEY
607 HAMMOND PLZ
HOPKINSVILLE, KY 42240-4971
Phone number: 270-886-2205
Mailing Address
-- JACK KELLEY
PO BOX 614
HOPKINSVILLE, KY 42241-0614
Phone number: