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Contact Information

JAMIE M KELLEY KINYON, LCSW
775 POLE LINE RD
SUITE 302
TWIN FALLS, ID83301
 Phone: 208-814-8740
 Fax: 208-814-8955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JAMIE M KELLEY KINYON · (Female)

NPI Number 1114312303
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/03/2015
Last updated 10/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • ID License # LCSW 497
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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