Provider Demographics
NPI:1821988262
Name:MEANS, KELVIN DARRELL JR
Entity type:Individual
Prefix:
First Name:KELVIN
Middle Name:DARRELL
Last Name:MEANS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 JONESVILLE LOCKHART HWY
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29353-2212
Mailing Address - Country:US
Mailing Address - Phone:864-251-2613
Mailing Address - Fax:
Practice Address - Street 1:238 JONESVILLE LOCKHART HWY
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:SC
Practice Address - Zip Code:29353-2212
Practice Address - Country:US
Practice Address - Phone:864-251-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician