Individual
KAHLIN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(937) 399-9500
Mailing address
474 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2463
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1300595
OH
101YP2500X
Professional Counselor
Primary
E.1700205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
07/08/2014
Last updated
02/10/2025
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