Kelly Rae Hendricks
Kelly Rae Hendricks is a Peer Specialist in Wautoma, Wisconsin. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
230 Park StWautoma, WI 54982-9031
Phone: (920) 787-6550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1932858263 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 23, 2022 |
| Last updated in NPPES | March 23, 2022 |
| Certification date | March 23, 2022 |
| Mailing address | Po Box 1230, Wautoma, WI 54982-1230 |