Provider Demographics
NPI:1649579517
Name:NAPP, KELLI D (LLP)
Entity Type:Individual
Prefix:MRS
First Name:KELLI
Middle Name:D
Last Name:NAPP
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:08441 32ND ST
Mailing Address - Street 2:
Mailing Address - City:GOBLES
Mailing Address - State:MI
Mailing Address - Zip Code:49055-9646
Mailing Address - Country:US
Mailing Address - Phone:269-330-2178
Mailing Address - Fax:
Practice Address - Street 1:97 S LAKE DOSTER DR
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-9109
Practice Address - Country:US
Practice Address - Phone:269-978-0875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011641103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling