Individual provider · Type 1 NPI

Kimberly Michelle Kelley, LPC

Professional Counselor · Bend, OR

NPI number 1619104338 Active

Practice location

15 SW Colorado Ave, Ste. 130
Bend, OR 97702-1150

Fax (541) 550-3887

Mailing address

PO Box 1225
Bend, OR 97709-1225

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC1101 (OR)

Professional Counselor: Definition to come...

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About NPI 1619104338

Kimberly Michelle Kelley, LPC's National Provider Identifier is 1619104338, issued on Jun 20, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Jul 19, 2016.