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Kenneth Kelly, PSYCHOLOGIST-M.A.
NPI 1205052487 · Clinical Psychologist · Eden, VT
Kenneth Kelly, PSYCHOLOGIST-M.A. is a Clinical Psychologist provider in Eden, VT (NPI 1205052487).
Provider details
- NPI number
- 1205052487
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYCHOLOGIST-M.A.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2297 Knowles Flat Rd
Eden, VT 05652
Phone: (802) 635-9595
Fax: (802) 635-7755
Street-level locationGet directions
Mailing address
Po Box 1401
Morrisville, VT 05661-1401
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Kelly's NPI number?
- Kenneth Kelly's National Provider Identifier (NPI) is 1205052487, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Kelly's specialty?
- Kenneth Kelly is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kenneth Kelly located?
- Kenneth Kelly's practice location on file with NPPES is 2297 Knowles Flat Rd, Eden, VT 05652.
- What is Kenneth Kelly's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Kelly is (802) 635-9595.
- Is Kenneth Kelly's NPI active?
- Yes — Kenneth Kelly's NPI (1205052487) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.