KIM A KELLY


Address: 2528 Oak St, Jacksonville, FL 32204-4504
Phone: 9046477567

KIM A KELLY (NPI# 1851630412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851630412
Entity Type Individual
Full Name KIM A KELLY
Credential LMHC
Practice Address 2528 Oak St
Jacksonville
FL 32204-4504
Mailing Address 4638 Royal Ave
Jacksonville
FL 32205-4952
Practice Telephone 9046477567
Mailing Telephone 9046477567
Mailing Fax Number 9046477568
Enumeration Date 2013-02-01
Last Update Date 2013-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH8940 FL Behavioral Health & Social Service Providers

Other Providers KIM KELLY

NPI Name Taxonomy Address Enumeration
1992198584 Kim Marie Kelly Behavioral Analyst 20 Tater St, Mont Vernon, NH 03057-1315 2015-03-06
1689950800 Kim C Kelly Speech-Language Pathologist 678 Cantiague Rock Rd, Jericho, NY 11753-1401 2011-11-02
1538302799 Kim Darrell Kelly Naturopath 1363 Burgundy Rd, Encinitas, CA 92024-1847 2009-04-16
1740380633 Kim Erin Kelly Counselor 333 S Juniper St, #115, Escondido, CA 92025-4924 2006-09-22
1578585501 Kim Michelle Kelly Family Medicine 12710 Se Division Street, Portland, OR 97236 2006-07-25
1790119857 Kim Marie Kelly Pharmacist 1401 Bombing Range Rd, West Richland, WA 99353-8001 2013-08-26
1730457193 Kim J Kelly Counselor 200 S Pollock St, Selma, NC 27576-3062 2011-12-13
1457453326 Kim H Kelly Registered Nurse 111 S Front St, Harrisburg, PA 17101-2010 2006-09-02

Office Location

Street Address 2528 OAK ST
City JACKSONVILLE
State FL
Zip Code 32204-4504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396161881 Modality, Inc. Counselor 2528 Oak St, Jacksonville, FL 32204-4504 2014-03-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
Find all providers in zip 32204

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1902418684 Molly Ann Burkhardt Counselor 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 2020-08-23
1194335638 Aiteria Green Counselor 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 2020-08-07
1053920116 Barbara Burden Counselor 209 N Carole Dr, Jacksonville, NC 28546-4845 2020-07-24
1790393973 Kelley Holladay Counselor 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 2020-07-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1447877709 Quendria Johnson-kerns Counselor 200 Zonnie Ln, Jacksonville, NC 28540-9729 2020-07-02
1467077164 Shanna Horan Counselor 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 2020-06-09
1720602527 Shannon E Raikes Counselor 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 2020-06-08
1750905253 Kathlena N Reed Counselor 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 2020-06-01
Find all providers in JACKSONVILLE

Competitor

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City JACKSONVILLE
Zip Code 32204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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