NPI Profile for KIMBERLEY S KELLY in OTTUMWA, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Social Worker |
104100000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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KIMBERLEY S KELLY
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| LORI L GRIM, CADC 310 W. MAIN ST OTTUMWA, IA |
| SUZETTE K VAN VARK, LMHC, IADC 310 W. MAIN ST OTTUMWA, IA |
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| BENJAMIN L WYLDES, CADC 310 W. MAIN ST OTTUMWA, IA |
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