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

Kelsae Wyrick

Individual provider Children's Substance Abuse Rehabilitation Facility · NPI 1326454695

Kelsae Wyrick is a Children's Substance Abuse Rehabilitation Facility in Kennett, Missouri. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1109 Jones St
Kennett, MO 63857-3824
Phone: (573) 559-4328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X

Record details

NPI number1326454695
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 8, 2014
Mailing address1109 Jones St, Kennett, MO 63857-3824

Other providers in Kennett