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NPI Code Detail

MEDICARE: KELLEY NICOLE KINDER LPC

MEDICARE: KELLEY NICOLE KINDER LPC
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
1101YP2500XProfessional Counselor0701008209VA

General Provider Information

NPI Number : 1184762452
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY NICOLE KINDER LPC
Provider Business Mailing Address
First Line : PO BOX 426
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-0426
Country : US
Telephone Number : 276-289-3020
Fax Number :
Provider Business Practice Location Address
First Line : 1113 CEDAR VALLEY DR
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-9190
Country : US
Telephone Number : 276-963-0111
Fax Number : 276-963-0005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 03/09/2026

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Directions to “ KELLEY NICOLE KINDER LPC” Practice Location

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