Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manny Brice Kelly, LPT

Individual provider Licensed Psychiatric Technician · NPI 1003479320

Manny Brice Kelly, LPT is a Licensed Psychiatric Technician in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1481 Windsor Dr
San Bernardino, CA 92404-5416
Phone: (909) 361-6472
Fax: (909) 203-7403
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 33817 (CA)

Record details

NPI number1003479320
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT
Sole proprietorYes
NPI enumeratedApril 22, 2019
Last updated in NPPESApril 22, 2019

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