MS. KELLY RAE DUE CADC NPI 1528385408

NPI Information

  • NPI: 1528385408
  • Provider Name: MS. KELLY RAE DUE, CADC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 6355 S 80TH EAST AVE APT K
    TULSA, OK
    ZIP 74133
  • Phone: (918) 902-1170

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NPI Details

MS. Kelly Rae Due, CADC is a mental health counselor in Tulsa, OK. MS. Kelly Rae Due, CADC NPI is 1528385408. 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:

6355 S 80TH EAST AVE APT K
TULSA, OK
ZIP 74133-813
Phone: (918) 902-1170

The enumeration date for this NPI number is 4/30/2010 and was last updated on 4/30/2010.

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
1101YM0800XCounselorMental Health14397OKLAHOMAYes

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
114397OTHEROKLAHOMAOKLAHOMA CADC

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: 3/30/2025

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