Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Evan Earle Kelley, MSPT, OCS

Individual provider Specialist · NPI 1679567499

Mr. Evan Earle Kelley, MSPT, OCS is a Specialist in Cheyenne, Wyoming. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
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Practice location Address checks out

6900 Alden Dr
Cheyenne, WY 82005-3906
Phone: (307) 773-3406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 11277 (MA)

Record details

NPI number1679567499
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT , OCS
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESDecember 5, 2007

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