MEDICARE: KAYELEE FOKKEN LMSW

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
1	1041C0700X	Clinical Social Worker	11757	KS

General Provider Information

NPI Number	:	1811501075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYELEE FOKKEN LMSW

Provider Business Mailing Address
First Line	:	2726 COLONIAL ST APT C
Second Line	:
City	:	HAYS
State	:	KS
Zip	:	67601-1885
Country	:	US
Telephone Number	:	970-370-1368
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 N SANTA FE AVE STE 300A
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-2642
Country	:	US
Telephone Number	:	620-794-7636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2020
Last Update Date	:	04/15/2026

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Directions to “ KAYELEE FOKKEN LMSW” Practice Location

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