Medlin, Kelly Josette

Medlin, Kelly Josette is an individual health care provider with primary practice located at 2615 Edwards St , Alton IL 62002-3915. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Medlin, Kelly Josette can be contacted via phone (618) 462-2331.

Contact Information

Primary practice address
2615 Edwards St Alton IL 62002-3915
Phone: (618) 462-2331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1083859821
LBN Legal business name Medlin, Kelly Josette
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2008
Last updated Dec 9th, 2008 - about 16 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

Popular Providers