MS. KELLY LYNN PALMER
NPI 1053612663
Counselor - Mental Health in Tishomingo, OK

Active since November 12, 2010
504 E 24TH ST, TISHOMINGO, OK 73460(903) 815-0843(580) 371-9944 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly Lynn Palmer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY LYNN PALMER (NPI 1053612663) is an individual mental health provider in Tishomingo, Oklahoma and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1053612663
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KELLY LYNN PALMER
Location Address504 E 24TH STTishomingo, OK 73460-3214
Mailing Address504 E 24th StTishomingo, OK 73460-3214 · (903) 815-0843 · Fax (580) 371-9944
Fax(580) 371-9944
Sole ProprietorYes
Enumeration DateNovember 12, 2010
Last NPPES UpdateNovember 18, 2010
NPI 1053612663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
504 E 24TH ST, Tishomingo, OK 73460

Other Identifiers 1

Medicaid100746580EOK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
504 E 24TH ST
TISHOMINGO, OK 73460
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Registered Nurse
504 E 24TH ST
TISHOMINGO, OK 73460
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Counselor (Mental Health)
504 E 24TH ST
TISHOMINGO, OK 73460
Behavior Analyst
504 E 24TH ST
TISHOMINGO, OK 73460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Palmer's NPI number?

The NPI number for Kelly Palmer is 1053612663. It was assigned to this individual provider in the NPPES registry on November 12, 2010.

Where is Kelly Palmer located?

Kelly Palmer practices at 504 E 24th St, Tishomingo, OK 73460. The listed phone number is (903) 815-0843.

What is Kelly Palmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Palmer was last updated on November 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.