Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSAE WYRICK
Active Sole ProprietorChildren's Substance Abuse Rehabilitation Facility · KENNETT, MO
Registration Details
- NPI Number
- 1326454695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2014 (11.7888214598 yrs)
- Last Updated
- Jul 8, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
1109 JONES STKENNETT, MO, 638573824Browse MO providers · Browse ZIP 63857
- Phone
- 5735594328
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
Other Children's Substance Abuse Rehabilitation Facility Providers in KENNETT, MO
| Name | Credential | NPI |
|---|---|---|
| SARAH DAILY | — | 1811319932 |
| LAURA CURRY | — | 1346656519 |
| GEORGE PIERCE | — | 1427464791 |
| NICHOLAS SMALL | — | 1437565702 |
| HILARY HILL | — | 1770965246 |
| NICOLE HART | — | 1609258904 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.