BENJAMIN KELLY PRS NPI 1356191035

NPI Information

  • NPI: 1356191035
  • Provider Name: BENJAMIN KELLY, PRS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 9620 CAREYS RUN POND CREEK RD
    MC DERMOTT, OH
    ZIP 45652
  • Phone: (740) 858-6683

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NPI Details

Benjamin Kelly, PRS is a peer specialist in Mc Dermott, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Benjamin Kelly, PRS NPI is 1356191035. 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:

9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH
ZIP 45652-902
Phone: (740) 858-6683

The enumeration date for this NPI number is 3/25/2024 and was last updated on 3/25/2024.

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
1175T00000XPeer SpecialistAPS.004918OHIOYes

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: 11/21/2025

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