KIMBERLY ANN KELLY PH. D., MA, MED
NPI 1376205492
Counselor - Mental Health in Fairbanks, AK

Active since October 06, 2021
315 5TH AVE, FAIRBANKS, AK 99701(907) 374-7776(800) 988-7650 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Ann Kelly Ph. D., Ma, Med NPPES

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

KIMBERLY ANN KELLY PH. D., MA, MED (NPI 1376205492) is an individual mental health provider in Fairbanks, Alaska and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1376205492
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY ANN KELLYCredential: PH. D., MA, MED
Location Address315 5TH AVEFairbanks, AK 99701-5025
Mailing Address315 5th AveFairbanks, AK 99701-5025 · (907) 374-7776 · Fax (800) 988-7650
Fax(800) 988-7650
Sole ProprietorNo
Enumeration DateOctober 6, 2021
NPPES CertifiedSeptember 6, 2021
NPI 1376205492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
315 5TH AVE, Fairbanks, AK 99701

Other Providers at the Same Location NPPES 12

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

Counselor
315 5TH AVE
FAIRBANKS, AK 99701
Counselor (Professional)
315 5TH AVE
FAIRBANKS, AK 99701
Counselor (Professional)
315 5TH AVE
FAIRBANKS, AK 99701
Community/Behavioral Health
315 5TH AVE
FAIRBANKS, AK 99701
Counselor (Professional)
315 5TH AVE
FAIRBANKS, AK 99701
Counselor (Professional)
315 5TH AVE
FAIRBANKS, AK 99701
Nurse Practitioner (Psychiatric/Mental Health)
315 5TH AVE
FAIRBANKS, AK 99701
Counselor (Mental Health)
315 5TH AVE
FAIRBANKS, AK 99701

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 Kimberly Kelly's NPI number?

The NPI number for Kimberly Kelly is 1376205492. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Kimberly Kelly located?

Kimberly Kelly practices at 315 5th Ave, Fairbanks, AK 99701. The listed phone number is (907) 374-7776.

What is Kimberly Kelly'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 Kimberly Kelly was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.