Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY RAE HENDRICKS
ActiveKELLY RAE HENDRICKS is a Peer Specialist healthcare provider located in WAUTOMA, Wisconsin. NPI 1932858263 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · WAUTOMA, WI
Registration Details
- NPI Number
- 1932858263
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2022 (4.3990967430614 yrs)
- Last Updated
- Mar 23, 2022
Practice Information
- Address
-
230 PARK STWAUTOMA, WI, 549829031Browse WI providers · Browse ZIP 54982
- Phone
- 9207876550
- Primary Specialty
-
Peer Specialist
175T00000X
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.