JOHN-SCOTT B KELLEY MS LAC NPI 1932745361

NPI Information

NPI: 1932745361
Provider Name: JOHN-SCOTT B KELLEY, MS, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 521-1532
Get Directions

John-scott B Kelley, MS, LAC is a professional counselor in Fayetteville, AR. John-scott B Kelley, MS, LAC NPI is 1932745361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3715 N BUSINESS DR STE 104
FAYETTEVILLE, AR
ZIP 72703-287
Phone: (479) 521-1532
Fax: (479) 521-9940

The enumeration date for this NPI number is 11/20/2019 and was last updated on 8/6/2020.

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	A1912187	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	242832795	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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