NPI 1073821716 MS. MOLLY JEAN KELLOR LICSW FARIBAULT MN. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Molly Jean Kellor - NPI: 1073821716

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. MOLLY JEAN KELLOR
NPI Number: 1073821716
Entity Type Code: Individual (1)
Gender: F
Credentials: LICSW
License Number: 19100
Business Practice Address: 201 1st St E
Jordan, MN - 553521503
Business Phone Number: 9524923624
Business Fax Number:
Mailing Address: 329 Faribault Rd,
FARIBAULT
State: MN
Postal Code: 550215780
Phone Number: 5073341983
Fax Number: 5073332307
NPI Enumeration Date: 09/15/2010
NPI Last Update Date: 09/15/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1041C0700X
License Number: 19100
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MN
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Social Worker
Taxonomy Specialization: Clinical
Taxonomy Definition:
A social worker who holds a master


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