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Kimberly Ann Kelly-lorenz
Substance Abuse Rehabilitation Facility in Canadian, Oklahoma
NPI 1093127979

Kimberly Ann Kelly-lorenz is a Substance Abuse Rehabilitation Facility based in Canadian, OK. Kimberly Ann Kelly-lorenz practices in Canadian, OK. The NPI Number for Kimberly Ann Kelly-lorenz is 1093127979 and holds a License No. (Oklahoma).

The current practice location address for Kimberly Ann Kelly-lorenz is 163 Mohawk Dr, Canadian, OK and can be reached out via phone at 918-339-5800 and via fax at 918-339-5801.

Location: 163 Mohawk Dr, Canadian, OK, 74425-9747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093127979
Provider Name
Kimberly Ann Kelly-lorenz
Credential
Provider Entity Type
Individual
Gender
Female
Address
163 Mohawk Dr, Canadian, OK, 74425-9747
Phone Number
918-339-5800
Fax Number
918-339-5801
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
163 Mohawk Dr
City
Canadian
State
Oklahoma
Zip
74425-9747
Phone Number
918-339-5800
Fax Number
918-339-5801
person
Provider Business Mailing Address Details
Address
163 Mohawk Dr
City
Canadian
State
Oklahoma
Zip
74425-9747
Phone Number
918-339-5800
Fax Number
918-339-5801
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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