Provider Demographics
NPI:1467911172
Name:FLYNN, KALEY (LPCA)
Entity Type:Individual
Prefix:
First Name:KALEY
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:
Other - Last Name:FLYNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NEW PERSPECTIVES
Mailing Address - Street 1:897 W HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2744
Mailing Address - Country:US
Mailing Address - Phone:606-425-0025
Mailing Address - Fax:
Practice Address - Street 1:205 E MOUNT VERNON ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-1412
Practice Address - Country:US
Practice Address - Phone:606-425-0025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY243916101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional