MEDICARE: DR. KENNETH LEE SEELY PH, D,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	116404-2501	UT

General Provider Information

NPI Number	:	1083730725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH LEE SEELY PH, D,

Provider Business Mailing Address
First Line	:	PO BOX 285
Second Line	:
City	:	LA VERKIN
State	:	UT
Zip	:	84745-0285
Country	:	US
Telephone Number	:	435-635-6028
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 N STATE ST
Second Line	:
City	:	LA VERKIN
State	:	UT
Zip	:	84745-5503
Country	:	US
Telephone Number	:	435-635-6028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1356476873 — CROSS CREEK MANOR, LLC
Practice Location Address:

150 N STATE ST
LA VERKIN, UT
84745-5503

Practice Phone: 435-635-2390
Practice Fax: 435-635-2778

1750634382 — YOUTH FOUNDATIONS
Practice Location Address:

150 N STATE ST
LA VERKIN, UT
84745-5503

Practice Phone: 435-635-6000
Practice Fax:

1609980739 — MR. HUGH J HOWARD D.D.S.
Practice Location Address:

144 S STATE ST
LA VERKIN, UT
84745-5600

Practice Phone: 435-635-4244
Practice Fax: 435-635-3308

1457450843 — MR. CLIFFORD E HOLT RPH
Practice Location Address:

495 N STATE ST
LA VERKIN, UT
84745-5124

Practice Phone: 435-962-2557
Practice Fax:

1366573461 — MARKET PHARMACY
Practice Location Address:

495 N STATE ST
LA VERKIN, UT
84745-5124

Practice Phone: 435-635-8880
Practice Fax: 435-635-1537

Directions to “ DR. KENNETH LEE SEELY PH, D,” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.