Individual provider · Type 1 NPI

Kelly Ann Kinkey

Addiction (Substance Use Disorder) Counselor · Medford, OR

NPI number 1639845449 Active

Practice location

3397 Delta Waters Rd
Medford, OR 97504-5852

Mailing address

300 W Main St
Medford, OR 97501-2756

Specialties and licenses

TaxonomyCodeLicense
Health Information Technician 247000000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639845449

Kelly Ann Kinkey's National Provider Identifier is 1639845449, issued on Aug 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medford, OR. The record was last updated on Sep 24, 2022.