Individual
HEIDI LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 EBLING RD, KUTZTOWN, PA 19530-9102
(484) 437-8370
Mailing address
94 EBLING RD, KUTZTOWN, PA 19530-9102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC017155
PA
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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