KELLY DAWN TEDFORD APSS
NPI 1790660082
Peer Specialist in Elizabethtown, KY

Active since August 07, 2025
100 PAR LN STE 102, ELIZABETHTOWN, KY 42701(270) 312-2500 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kelly Dawn Tedford Apss NPPES

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

KELLY DAWN TEDFORD APSS (NPI 1790660082) is an individual peer specialist in Elizabethtown, Kentucky, licensed in Kentucky (1217326) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1790660082
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY DAWN TEDFORDCredential: APSS
Location Address100 PAR LN STE 102Elizabethtown, KY 42701-9023
Mailing Address100 Par Ln Ste 102Elizabethtown, KY 42701-9023
Sole ProprietorYes
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1790660082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in KY · 1217326
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
100 PAR LN STE 102, Elizabethtown, KY 42701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Social Worker (Clinical)
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701
Peer Specialist
100 PAR LN STE 102
ELIZABETHTOWN, KY 42701

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 Tedford's NPI number?

The NPI number for Kelly Tedford is 1790660082. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Kelly Tedford located?

Kelly Tedford practices at 100 Par Ln Ste 102, Elizabethtown, KY 42701. The listed phone number is (270) 312-2500.

What is Kelly Tedford's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Tedford was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.