Individual
MS. LAUREN MAI KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
715 S KIHEI RD, 237, KIHEI, HI 96753-9070
(401) 316-9666
Mailing address
715 S KIHEI RD, 237, KIHEI, HI 96753-9070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30343
BLUE CROSS CRISIS
RI
Enumeration date
08/22/2007
Last updated
08/29/2014
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