| NPI | 1629592340 |
|---|---|
| Other Name | DONTI KELLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-JLOTNC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-07-28 |