Wicks, Kelly

Wicks, Kelly is an individual health care provider with primary practice located at 2475 W Chicago St , Rapid City SD 57702-2467. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wicks, Kelly can be contacted via phone (605) 206-5004.

Contact Information

Primary practice address
2475 W Chicago St Rapid City SD 57702-2467
Phone: (605) 206-5004
Fax: (605) 646-4840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-157217

Profile Details

NPI number 1033703889
LBN Legal business name Wicks, Kelly
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033703889 NPPES
Other RBT-21-157217 RBT

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