Organization Name: | COUNTY OF KEWAUNEE |
NPI Number: | 1366431173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM P. KELSEY (DIRECTOR) |
Mailing Address: | 810 Lincoln Street Kewaunee |
State: | WI US |
Postal Code: | 542161140 |
Phone Number: | 9203887030 |
Fax Number: | 9203887044 |
NPI Enumeration Date: | 10/14/2005 |
NPI Last Update Date: | 12/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 2288 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |