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NPI Code Detail

MEDICARE: KAY WES

MEDICARE: KAY WES
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
1174200000XMeals Provider
2251300000XLocal Education Agency (LEA)
3251K00000XPublic Health or Welfare Agency
4251S00000XCommunity/Behavioral Health Agency
5251B00000XCase Management Agency

General Provider Information

NPI Number : 1376482653
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAY WES
Provider Business Mailing Address
First Line : 17342 WELLBURN DR
Second Line :
City : WESTFIELD
State : IN
Zip : 46074-9946
Country : US
Telephone Number : 317-986-3901
Fax Number :
Provider Business Practice Location Address
First Line : 1100 W 42ND ST STE 365
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-3383
Country : US
Telephone Number : 317-985-8608
Fax Number :
Authorized Official
Title or Position : COMMUNITY HEALTH WORKER
Name : MRS. KISHA WALKER
Credential : CHW, B S PSYCH
Telephone Number : 317-986-3901
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “KAY WES ” Practice Location

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