Individual provider · Type 1 NPI
Kelly Lorraine Shively, LPC
Professional Counselor · Wichita, KS
NPI number
1255524229
Active
Practice location
1738 S Martinson
Wichita, KS 67213-5799
Fax (316) 691-8473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1942 (KS) |
Professional Counselor: Definition to come...
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About NPI 1255524229
Kelly Lorraine Shively, LPC's National Provider Identifier is 1255524229, issued on Aug 23, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wichita, KS. The record was last updated on Sep 5, 2012.