Individual
MRS. KELLY A KIEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
900 S MAIN ST BLDG A, SUITE 105, BEL AIR, MD 21014-5447
(410) 914-4012
Mailing address
26 POPLAR SPRINGS BLVD, STEWARTSTOWN, PA 17363-4105
(443) 928-0631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC2184
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600007820
MAGELLAN BH
MD
01
—
88750701
CAREFIRST RENDERING
MD
01
—
AETNA
7265936
MD
01
—
M3280013
BCBS NATL CAPITAL REGION
MD
01
—
QC40CO
CAREFIRST BCBS MD
MD
Enumeration date
03/21/2007
Last updated
11/25/2025
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