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

Kelly Buckingham

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568786770

Kelly Buckingham is an Addiction (Substance Use Disorder) Counselor in Sheridan, Wyoming. Licensed in North Dakota and Wyoming. Registered with an NPI since 2010.

Licensed in
ND, WY
In the registry since
2010
Specialties on file
3

Practice location Address checks out

1876 S Sheridan Ave
Sheridan, WY 82801-6136
Phone: (307) 672-0475
Fax: (307) 674-6867
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 634 (WY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 340 (WY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4975 (ND)

Record details

NPI number1568786770
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2010
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address1876 S Sheridan Ave, Sheridan, WY 82801-6136

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