MRS. CAROLYN DARLENE KELLEY CRADC
NPI 1831653252
Counselor - Addiction (Substance Use Disorder) in Cape Girardeau, MO

Q: What is Carolyn Kelley's NPI number?

The NPI number for Carolyn Kelley is 1831653252. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Q: What is Carolyn Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Kelley was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 30, 2019

760 S KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63703(573) 335-4333(573) 335-4345 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Carolyn Darlene Kelley Cradc NPPES

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

MRS. CAROLYN DARLENE KELLEY CRADC (NPI 1831653252) is an individual addiction (substance use disorder) provider in Cape Girardeau, Missouri, licensed in Missouri (2708) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1831653252

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. CAROLYN DARLENE KELLEYCredential: CRADC

Location Address760 S KINGSHIGHWAY STCape Girardeau, MO 63703-7630

Mailing Address760 S Kingshighway StCape Girardeau, MO 63703-7630 · (573) 335-4333 · Fax (573) 335-4345

Phone(573) 335-4333

Fax(573) 335-4345

Sole ProprietorNo

Enumeration DateJanuary 30, 2019

✔ NPI 1831653252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in MO · 2708

760 S KINGSHIGHWAY ST, Cape Girardeau, MO 63703

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Other Providers at the Same Location NPPES 3

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

MED PLUS STAFFING L.L.C.

Home Health

760 S KINGSHIGHWAY ST, SUITE E
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (573) 334-7171

HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC

Durable Medical Equipment & Medical Supplies

760 S KINGSHIGHWAY ST, SUITE L
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (888) 388-0933

RIEF HEALTHCARE LLC

Hospice Care, Community Based

760 S KINGSHIGHWAY ST, SUITE E
CAPE GIRARDEAU, MO 63703

Cape Girardeau County (573) 334-7171

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 Carolyn Kelley's NPI number?

The NPI number for Carolyn Kelley is 1831653252. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Carolyn Kelley located?

Carolyn Kelley practices at 760 S Kingshighway St, Cape Girardeau, MO 63703. The listed phone number is (573) 335-4333.

What is Carolyn Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carolyn Kelley was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.