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General NPI Number Information
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NPI Number | 1518840974
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Entity Type | Organization
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Legal Business Name | KELSEY E KENNEDY LPC LLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 109 CORONADO CT BLDG 7
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City | FORT COLLINS
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State | CO
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Zip | 80525-4929
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Country | US
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Telephone | 970-694-7057
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Fax |
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Provider Business Mailing Address
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Address Line | 3331 PEPPERWOOD LN
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City | FORT COLLINS
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State | CO
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Zip | 80525-2924
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | KELSEY KENNEDY
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Credential | LPC, LAC
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Telephone | 970-694-7057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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