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NPI Code Detail

MEDICARE: KELTIE PALMER LPC

MEDICARE: KELTIE PALMER 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 Counselor6401225616MI

General Provider Information

NPI Number : 1578489738
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELTIE PALMER LPC
Provider Business Mailing Address
First Line : PO BOX 384
Second Line :
City : ROCKFORD
State : MI
Zip : 49341-0384
Country : US
Telephone Number : 616-232-6612
Fax Number :
Provider Business Practice Location Address
First Line : 350 NORTHLAND DR NE STE 1
Second Line :
City : ROCKFORD
State : MI
Zip : 49341-1401
Country : US
Telephone Number : 616-232-6612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ KELTIE PALMER LPC” Practice Location

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