Mr. Dan Dale Kelly
Mr. Dan Dale Kelly is a Driver in Shady Cove, Oregon. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 3
Practice location Address checks out
120 Birch StShady Cove, OR 97539
Phone: (541) 878-2429
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|---|
| Driver | Taxonomy 172A00000X |
| Chore Provider | Taxonomy 372500000X |
Record details
| NPI number | 1285952101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 17, 2010 |
| Last updated in NPPES | May 17, 2010 |