Individual provider · Type 1 NPI

Kimberly Ann Kelly, PH. D., MA, MED

Mental Health Counselor · Fairbanks, AK

NPI number 1376205492 Active

Practice location

315 5th Ave
Fairbanks, AK 99701-5025

Fax (800) 988-7650

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376205492

Kimberly Ann Kelly, PH. D., MA, MED's National Provider Identifier is 1376205492, issued on Oct 6, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Oct 6, 2021.