| Doctor Name: | KELLY DAVIS CONNOT |
| NPI Number: | 1164783783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHP, NCC |
| License Number: | 9656 |
| Business Practice Address: | 11774 Polyline Rd Holdrege, NE - 689491585 |
| Business Phone Number: | 4023220271 |
| Business Fax Number: | |
| Mailing Address: | 11774 Polyline Rd, HOLDREGE |
| State: | NE |
| Postal Code: | 689491585 |
| Phone Number: | 4023220271 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 06/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 9656 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |