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General NPI Number Information
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NPI Number | 1710857263
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Entity Type | Organization
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Legal Business Name | KELLY KERR LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 1838 S PRESTON HWY
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-5465
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Country | US
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Telephone | 502-208-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 587 JENNYMAC DR
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City | LOUISVILLE
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State | KY
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Zip | 40229-6085
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Country | US
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Telephone | 502-208-6034
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | KELLY KERR
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Credential | LPCC
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Telephone | 502-208-6034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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