Individual
MRS. KELLY RENEE KINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,ED.S.
Contact information
Practice address
10 MARLAND AVENUE, HAMLIN, WV 25523
(304) 824-3033
Mailing address
102 ELIZABETH HTS, HURRICANE, WV 25526-9477
(304) 542-1309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3635
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001571
—
WV
Enumeration date
01/28/2008
Last updated
01/28/2008
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