Provider Demographics
NPI:1922308410
Name:KELLY A. DONLEY & ASSOCIATES L.L.C.
Entity Type:Organization
Organization Name:KELLY A. DONLEY & ASSOCIATES L.L.C.
Other - Org Name:I CAN WE CAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER, C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:DONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-515-9060
Mailing Address - Street 1:10983 CLIFFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:FORTVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46040-4509
Mailing Address - Country:US
Mailing Address - Phone:224-515-9060
Mailing Address - Fax:317-981-3819
Practice Address - Street 1:10983 CLIFFSIDE DR
Practice Address - Street 2:
Practice Address - City:FORTVILLE
Practice Address - State:IN
Practice Address - Zip Code:46040-4509
Practice Address - Country:US
Practice Address - Phone:224-515-9060
Practice Address - Fax:317-981-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-29
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty