Organization Name: | MARCELLA J KILLE LSCSW PA |
NPI Number: | 1083852362 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCELLA J KILLE (DIRECTOR) |
Mailing Address: | 101 E 1st Ave Hutchinson |
State: | KS US |
Postal Code: | 675017147 |
Phone Number: | 6209211029 |
Fax Number: | 6206625621 |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |