KELLY E KENNEDY
NPI 1144618513
Counselor - Mental Health in Fayetteville, AR

The NPI number for Kelly Kennedy is 1144618513. It was assigned to this individual provider in the NPPES registry on January 7, 2015.

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

The NPPES record for Kelly Kennedy was last updated on December 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 07, 2015

60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelly E Kennedy NPPES

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

KELLY E KENNEDY (NPI 1144618513) is an individual mental health provider in Fayetteville, Arkansas and active in the NPI registry since January 2015.

NPI1144618513

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY E KENNEDY

Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822

Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 695-1240 · Fax (479) 750-4843

Fax(479) 750-4843

Sole ProprietorNo

Enumeration DateJanuary 7, 2015

Last NPPES UpdateDecember 10, 2015

✔ NPI 1144618513 is a valid, active identifier and passes the ISO check-digit test.

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

60 W SUNBRIDGE DR, Fayetteville, AR 72703

Former Name (1)Kelly E Reynolds

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

Counselor (Mental Health)