Individual provider · Type 1 NPI

Kiefer Gunn

Substance Abuse Rehabilitation Facility · Kennett, MO

NPI number 1386066405 Active

Practice location

1109 Jones St
Kennett, MO 63857-3824

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 1386066405

Kiefer Gunn's National Provider Identifier is 1386066405, issued on Jan 8, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Kennett, MO. The record was last updated on Jan 8, 2014.