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NPI Code Detail

MEDICARE: VICTORIA KELM-FOY

MEDICARE: VICTORIA KELM-FOY
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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social WorkerPCSW-790WY

General Provider Information

NPI Number : 1598205775
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA KELM-FOY
Provider Business Mailing Address
First Line : 350 CITY VIEW DR STE 206
Second Line :
City : EVANSTON
State : WY
Zip : 82930-5326
Country : US
Telephone Number : 307-789-7915
Fax Number : 307-789-6009
Provider Business Practice Location Address
First Line : 190 OVERTHRUST RD
Second Line :
City : EVANSTON
State : WY
Zip : 82930-5326
Country : US
Telephone Number : 307-789-4224
Fax Number : 307-789-4225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2017
Last Update Date : 09/21/2018

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Directions to “ VICTORIA KELM-FOY ” Practice Location

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