Kelly Lynn Hagan, M.A.
Counselor, Mental Health in Lexington, KY. Individual provider (NPI-1).
NPI number1104944404
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104944404
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelly Lynn Hagan
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | KY 0280 | KY | Yes |
Other names
- Kelly Lynn Hagan (Professional Name)
Practice location
520 E Maxwell StLexington, KY 40502-6432
Phone 859-233-3390 · Fax 859-243-9906
Mailing address
1712 Brook Park DrLexington, KY 40515-1307
Phone 859-271-9253
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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