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NPI Code Detail

MEDICARE: KELSIE NICOLE RICE ACSW

MEDICARE: KELSIE NICOLE RICE ACSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker115377CA

General Provider Information

NPI Number : 1447873955
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE NICOLE RICE ACSW
Provider Business Mailing Address
First Line : 655 MINNEWAWA AVE # 2247
Second Line :
City : CLOVIS
State : CA
Zip : 93612-1757
Country : US
Telephone Number : 559-797-5273
Fax Number :
Provider Business Practice Location Address
First Line : 4447 E CESAR CHAVEZ BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93702-3604
Country : US
Telephone Number : 559-600-6048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2020
Last Update Date : 09/16/2024

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Directions to “ KELSIE NICOLE RICE ACSW” Practice Location

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