Individual
KIMBERLY SUE MCNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED PEER
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
WA
Enumeration date
09/28/2018
Last updated
03/18/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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