Reynolds, Kelley Lynn

Reynolds, Kelley Lynn is an individual health care provider with primary practice located at 1540 Main St Ste 218-158 , Windsor CO 80550-7913. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Reynolds, Kelley Lynn can be contacted via phone (602) 402-1711.

Contact Information

Primary practice address
1540 Main St Ste 218-158 Windsor CO 80550-7913
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9931140 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-15386 Arizona

Profile Details

NPI number 1902180813
LBN Legal business name Reynolds, Kelley Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2011
Last updated Aug 20th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902180813 NPPES
Maryland MEDICAID 589561802
Maryland MEDICAID 978700

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