Individual provider · Type 1 NPI
Ksakrad Kelly
Mental Health Counselor · Cambridge, MD
NPI number
1629944277
Active
Practice location
300 Oakley St
Cambridge, MD 21613-1712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1629944277
Ksakrad Kelly's National Provider Identifier is 1629944277, issued on Oct 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cambridge, MD. The record was last updated on Oct 13, 2025.