MEDICARE: KELLI JEAN UMSCHEID

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
1	101YP2500X	Professional Counselor	4186	KS

General Provider Information

NPI Number	:	1588340145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI JEAN UMSCHEID

Provider Business Mailing Address
First Line	:	154 S 7TH ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2806
Country	:	US
Telephone Number	:	785-577-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	154 S 7TH ST
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2806
Country	:	US
Telephone Number	:	785-577-3388
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	06/27/2023

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Directions to “ KELLI JEAN UMSCHEID ” Practice Location

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