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KELSAE WYRICK NPI 1326454695


NPI Information

NPI: 1326454695
Provider Name: KELSAE WYRICK
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Individual

Specialization: Substance Abuse Treatment, Children

Address:
1109 JONES ST
KENNETT, MO
ZIP 63857
Phone: (573) 559-4328
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Kelsae Wyrick is a substance abuse treatment and children substance abuse rehabilitation facility in Kennett, MO. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. Kelsae Wyrick NPI is 1326454695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1109 JONES ST
KENNETT, MO
ZIP 63857-824
Phone: (573) 559-4328

The enumeration date for this NPI number is 7/8/2014 and was last updated on 7/8/2014.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.