Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Lynn McKibben, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1144960543

Kelly Lynn McKibben, RADT is an Addiction (Substance Use Disorder) Counselor in Trabuco Canyon, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

20331 Flanagan Rd
Trabuco Canyon, CA 92679
Phone: (818) 582-8832
Fax: (818) 582-8836
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1439310721 (CA)

Record details

NPI number1144960543
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022

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