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1962584623
KEVIN JAMES KELLY
FAIRFAX, VA
NPI
1962584623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810002204)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
Dr. KEVIN JAMES KELLY Psy.D.
10560 MAIN ST STE 411
FAIRFAX, VA 22030-7174
Phone number: 703-855-3802
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Mailing Address
Dr. KEVIN JAMES KELLY Psy.D.
2251 PIMMIT DR APT 412
FALLS CHURCH, VA 22043-2813
Phone number: 703-288-1138
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