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Contact Information

KIMBERLEY S KELLY, LMHC, LMSW, IADC
310 W. MAIN ST
OTTUMWA, IA52501
 Phone: 641-683-6747
 Fax: 641-683-6317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for KIMBERLEY S KELLY · (Female)

NPI Number 1750363263
Status Active
Credentials LMHC, LMSW, IADC
Entity Individual
Enumeration date 11/18/2005
Last updated 05/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001380
  • IA License # 03163
  • IA Other 228839 MIDLANDS CHOICE
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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