Provider Demographics
NPI:1790401511
Name:LAMPKIN, KELLY P (SWLC)
Entity Type:Individual
Prefix:MR
First Name:KELLY
Middle Name:P
Last Name:LAMPKIN
Suffix:
Gender:M
Credentials:SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6895
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-6895
Mailing Address - Country:US
Mailing Address - Phone:910-733-9251
Mailing Address - Fax:
Practice Address - Street 1:430 N BENTON AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-5040
Practice Address - Country:US
Practice Address - Phone:910-474-0816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health