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Mrs. Kimberly Ann Kelly, LPC
Multi-Specialty Clinic/Center in Tupelo, Mississippi
NPI 1992944870

Kimberly Ann Kelly is a Multi-Specialty Clinic/Center based in Guntown, MS and is specialized in Multi-Specialty. Kimberly Ann Kelly practices in Tupelo, MS and has the professional credentials of LPC. The NPI Number for Kimberly Ann Kelly is 1992944870 and holds a License No. 1923 (Mississippi).

The current practice location address for Kimberly Ann Kelly is 2164 Southridge Dr, Tupelo, MS and can be reached out via phone at 662-760-0115 and via fax at 662-596-0428.

Location: 2164 Southridge Dr, Tupelo, MS, 38849-9106
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Provider Profile Details
NPI Number
1992944870
Provider Name
Kimberly Ann Kelly
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2164 Southridge Dr, Tupelo, MS, 38849-9106
Phone Number
662-760-0115
Fax Number
662-596-0428
Provider Enumeration Date
02/17/2009
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
01437332 05 MS
83-4622726 01 MS COMMERCIAL
001437332 05 MS
83-4622726 05 MS
01376867 05 MS
001376867 05 MS
institution
Provider Business Practice Location Address Details
Address
2164 Southridge Dr
City
State
Zip
38801-6417
Phone Number
662-760-0115
Fax Number
662-596-0428
person
Provider Business Mailing Address Details
Address
2164 Southridge Dr
City
State
Zip
38801-6417
Phone Number
662-760-0115
Fax Number
662-596-0428
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
1923 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1923 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
1923 (Mississippi)
Definition
Definition to come...
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