Provider Demographics
NPI:1780983015
Name:VOTEL, KELLI NICHOLE
Entity type:Individual
Prefix:MISS
First Name:KELLI
Middle Name:NICHOLE
Last Name:VOTEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6505 SUGAR CAMP DRIVE
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051
Mailing Address - Country:US
Mailing Address - Phone:513-546-5198
Mailing Address - Fax:
Practice Address - Street 1:43 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102
Practice Address - Country:US
Practice Address - Phone:513-947-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health