Provider Demographics
NPI:1669647020
Name:SINCLAIR, KELLY (IADC)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:IADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 6TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-2536
Mailing Address - Country:US
Mailing Address - Phone:515-215-0792
Mailing Address - Fax:
Practice Address - Street 1:102 N WILSON AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:IA
Practice Address - Zip Code:50129-2116
Practice Address - Country:US
Practice Address - Phone:515-900-8661
Practice Address - Fax:515-900-8665
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)