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NPI Code Detail

MEDICARE: MRS. KELLY C KIRKPATRICK LCSW

MEDICARE:  MRS. KELLY C KIRKPATRICK  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker2026KY
21041C0700XClinical Social Worker2026KY

Other Identifiers

General Provider Information

NPI Number : 1013067172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLY C KIRKPATRICK LCSW
Provider Business Mailing Address
First Line : 2250 THUNDERSTICK DR STE 1104
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9009
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-2075
Provider Business Practice Location Address
First Line : 2250 THUNDERSTICK DR STE 1104
Second Line :
City : LEXINGTON
State : KY
Zip : 40505-9009
Country : US
Telephone Number : 859-254-1035
Fax Number : 859-254-2075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 10/27/2020

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Directions to “ MRS. KELLY C KIRKPATRICK LCSW” Practice Location

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