KELLY D EDGELL LCDCIII NPI 1609377514

NPI Information

  • NPI: 1609377514
  • Provider Name: KELLY D EDGELL, LCDCIII
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1127 W MAIN ST
    ZANESVILLE, OH
    ZIP 43701
  • Phone: (740) 454-1266

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NPI Details

Kelly D Edgell, LCDCIII is an addiction (substance use disorder) counselor in Zanesville, OH. Kelly D Edgell, LCDCIII NPI is 1609377514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1127 W MAIN ST
ZANESVILLE, OH
ZIP 43701-147
Phone: (740) 454-1266
Fax: (740) 454-7650

The enumeration date for this NPI number is 2/26/2018 and was last updated on 11/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LCDCIII.081187OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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