Ms Kelly Jean Ravenfeather, MS ED, LP, LMFT is a
Marriage & Family Therapist based in Duluth, Minnesota. Ms Kelly Jean Ravenfeather is licensed to practice in Minnesota (license number 497) and her current practice location is
230 E Superior St Ste 101, Duluth, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 726-5433.
NPI number for Ms Kelly Jean Ravenfeather is 1013054642 and her current mailing address is 230 E Superior St Ste 101, Duluth, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013054642.
Healthcare Provider's Profile
| Full Name | Ms Kelly Jean Ravenfeather |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 230 E Superior St Ste 101, Duluth, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013054642
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Kelly Jean Ravenfeather such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013054642 | NPI | - | NPPES |
| HP35232 | Other | MN | HEALTHPARTNERS |
| 226395 | Other | MN | MANAGED HEALTH NETWORK |
| 6235843 | Other | MN | MEDICA, UBH, SELECT CARE |
| 21F85RA | Other | MN | BLUECROSS BLUESHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP1839 (Minnesota) | Primary |
| 1041C0700X | Social Worker - Clinical | 6878 (Minnesota) | Primary |
| 106H00000X | Marriage & Family Therapist | 497 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kelly Jean Ravenfeather is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kelly Jean Ravenfeather, MS ED, LP, LMFT
230 E Superior St Ste 101,
Duluth, MN 55802-2104
Ph: (218) 726-5433 | Ms Kelly Jean Ravenfeather, MS ED, LP, LMFT
230 E Superior St Ste 101,
Duluth, MN 55802-2104
Ph: (218) 726-5433 |
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