Individual
KELSEY K KINGDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 GENERAL GARDNER AVE, LAFAYETTE, LA 70501-7824
(662) 931-4512
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
(662) 931-4512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
04/11/2024
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