Search › Nevada › 103T00000X
Shane Kelley, PHD
NPI 1053694372 · on the registry since 2011 · sole proprietor
Practice
- Address
- 5421 Kietzke Ln
Suite 101
Reno, NV 89511 - Phone
- (775) 853-3797
- Fax
- (855) 754-6250
- Organisation at this address
- L E Ruckstuhl Inc
Richard M Baldo Phd Incorporated
Behavioral Medcine Consultants, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 106H00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada