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NPI Code Detail

MEDICARE: KELLY M CAPEL

MEDICARE:   KELLY M CAPEL
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1437780616
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY M CAPEL
Provider Business Mailing Address
First Line : 3689 SHADOW RIDGE DR
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8404
Country : US
Telephone Number : 336-863-3214
Fax Number :
Provider Business Practice Location Address
First Line : 3689 SHADOW RIDGE DR
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8404
Country : US
Telephone Number : 336-863-3214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2020
Last Update Date : 07/31/2025

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Directions to “ KELLY M CAPEL ” Practice Location

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