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

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1043513138

Scott Kerksieck is an Emotionally Disturbed Childrens' Residential Treatment Facility in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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Practice location Address checks out

714 W Main St
Grass Valley, CA 95945-6410
Phone: (530) 477-9800
Fax: (530) 477-9803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X

Record details

NPI number1043513138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 10, 2010
Last updated in NPPESDecember 10, 2010

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