KIMBERLY MICHELLE KELLEY LPC NPI 1619104338

NPI Information

NPI: 1619104338
Provider Name: KIMBERLY MICHELLE KELLEY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
15 SW COLORADO AVE
STE. 130
BEND, OR
ZIP 97702
Phone: (541) 480-3665
Get Directions

Kimberly Michelle Kelley, LPC is a professional counselor in Bend, OR. Kimberly Michelle Kelley, LPC NPI is 1619104338. 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:

15 SW COLORADO AVE
STE. 130
BEND, OR
ZIP 97702-150
Phone: (541) 480-3665
Fax: (541) 550-3887

The enumeration date for this NPI number is 6/20/2009 and was last updated on 7/19/2016.

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	C1101	OREGON	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »