Kelly, Marc

Kelly, Marc is an individual health care provider with primary practice located at 321 E Main St , Morehead KY 40351-1671. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kelly, Marc can be contacted via phone (606) 784-4161.

Contact Information

Primary practice address
321 E Main St Morehead KY 40351-1671
Phone: (606) 784-4161
Fax: (606) 783-9952
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 252084 Kentucky

Profile Details

NPI number 1649369182
LBN Legal business name Kelly, Marc
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 13th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649369182 NPPES
Kentucky MEDICAID 7100419780
Kentucky Other 000000603438

Popular Providers