KELLY J MEDLIN LPC NPI 1104468180

NPI Information

NPI: 1104468180
Provider Name: KELLY J MEDLIN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2001 E STONEBROOK PL
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-1000
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Kelly J Medlin, LPC is a professional counselor in Kingsport, TN. Kelly J Medlin, LPC NPI is 1104468180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2001 E STONEBROOK PL
KINGSPORT, TN
ZIP 37660-000
Phone: (423) 224-1000
Fax: (423) 467-3644

The enumeration date for this NPI number is 10/11/2019 and was last updated on 10/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4584	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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