Individual provider · Type 1 NPI

Kimberly Ann Kelly-Lorenz

Substance Abuse Rehabilitation Facility · Canadian, OK

NPI number 1093127979 Active

Practice location

163 Mohawk Dr
Canadian, OK 74425-9747

Call (918) 339-5800 Map

Fax (918) 339-5801

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: 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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About NPI 1093127979

Kimberly Ann Kelly-Lorenz's National Provider Identifier is 1093127979, issued on May 27, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Canadian, OK. The record was last updated on May 27, 2014.