KELLY J MEDLIN LPC
NPI 1104468180
Counselor - Professional in Kingsport, TN

Q: What is Kelly Medlin's NPI number?

The NPI number for Kelly Medlin is 1104468180. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Q: What is Kelly Medlin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Medlin was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2019

2001 E STONEBROOK PL, KINGSPORT, TN 37660(423) 224-1000(423) 467-3644 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly J Medlin Lpc NPPES

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

KELLY J MEDLIN LPC (NPI 1104468180) is an individual professional provider in Kingsport, Tennessee, licensed in Tennessee (4584) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1104468180

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKELLY J MEDLINCredential: LPC

Location Address2001 E STONEBROOK PLKingsport, TN 37660-4000

Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644

Phone(423) 224-1000

Fax(423) 467-3644

Sole ProprietorNo

Enumeration DateOctober 11, 2019

✔ NPI 1104468180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TN · 4584

2001 E STONEBROOK PL, Kingsport, TN 37660

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Other Providers at the Same Location NPPES 4

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

DAVID R BARLOW LMFT

Marriage & Family Therapist

2001 E STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

REBECCA ELLEN ROOSA

Case Manager/Care Coordinator

2001 E STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

MS. KRISTI COOK FNP

Nurse Practitioner

2001 E STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

DR. LORI KLINGER PH.D.

Psychologist (Clinical)

2001 E STONEBROOK PL
KINGSPORT, TN 37660

Sullivan County (423) 224-1000

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 Medlin's NPI number?

The NPI number for Kelly Medlin is 1104468180. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Where is Kelly Medlin located?

Kelly Medlin practices at 2001 E Stonebrook Pl, Kingsport, TN 37660. The listed phone number is (423) 224-1000.

What is Kelly Medlin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Medlin was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.