Provider Demographics
NPI:1922183037
Name:KELSEY, DOLLY W (OTR L, CLT)
Entity type:Individual
Prefix:MRS
First Name:DOLLY
Middle Name:W
Last Name:KELSEY
Suffix:
Gender:F
Credentials:OTR L, CLT
Other - Prefix:
Other - First Name:DOLLY
Other - Middle Name:W
Other - Last Name:FOLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CLT
Mailing Address - Street 1:91-1434 HALAHUA ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3123
Mailing Address - Country:US
Mailing Address - Phone:808-483-0622
Mailing Address - Fax:808-732-7766
Practice Address - Street 1:650 IWILEI RD STE 165
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5319
Practice Address - Country:US
Practice Address - Phone:808-483-0622
Practice Address - Fax:808-732-7766
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT935225X00000X
WA2278225X00000X
HIOT262225X00000X
HIOT-262225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist