DERRICK KINLEY
NPI 1063855443
Counselor - Mental Health in Grants Pass, OR
Active since April 16, 2013
About Derrick Kinley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK KINLEY (NPI 1063855443) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since April 2013.
NPPES Registry Identity
NPI1063855443
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK KINLEY
Location Address1215 SW G STGrants Pass, OR 97526-2544
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373 · Fax (541) 476-1526
Phone(541) 476-2373
Fax(541) 476-1526
Sole ProprietorNo
Enumeration DateApril 16, 2013
✔ NPI 1063855443 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1215 SW G ST, Grants Pass, OR 97526
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063855443, enumerated as an "individual" on April 16, 2013.
The provider is located at 1215 SW G ST GRANTS PASS, OR 97526 and the phone number is (541) 476-2373.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
