Kennard, Kelly

Kennard, Kelly is an individual health care provider with primary practice located at 1680 Nave Rd Se , Massillon OH 44646. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kennard, Kelly can be contacted via phone (330) 830-8740.

Contact Information

Primary practice address
1680 Nave Rd Se Massillon OH 44646
Phone: (330) 830-8740
Fax: (330) 830-0912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C1801257 Ohio
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M.1800071 Ohio

Profile Details

NPI number 1700373586
LBN Legal business name Kennard, Kelly
Credentials LPC, MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2018
Last updated Feb 20th, 2019 - 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 1700373586 NPPES
Ohio MEDICAID 0291227

Popular Providers