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Individual

MRS. KELLY A KIEDERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

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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