KIMBERLY ANN KELLY-LORENZ NPI 1093127979

NPI Information

Kimberly Ann Kelly-lorenz is a substance abuse rehabilitation facility in Canadian, OK. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. Kimberly Ann Kelly-lorenz NPI is 1093127979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

163 MOHAWK DR
CANADIAN, OK
ZIP 74425-747
Phone: (918) 339-5800
Fax: (918) 339-5801

The enumeration date for this NPI number is 5/27/2014 and was last updated on 5/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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