Kesha Elaine Grace
Individual provider Active NPI Social Worker · Winfield, KS
NPI 1992247381 · NPPES record last updated Dec 20, 2023
Key facts
- NPI
- 1992247381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 13289 (KS)
- Practice address
- 118 W 9TH Ave
Winfield, KS 67156-2852 - Phone
- (620) 402-6641
- Fax
- (620) 221-3350
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8983 | OK | MD | Social Worker |
| 13289 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8983 | OK | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | 13289 | KS | Yes |
Addresses
Primary practice location
118 W 9TH Ave
Winfield, KS 67156-2852
Mailing address
118 W 9TH Ave
Winfield, KS 67156-2852
Phone (620) 402-6641
Other providers in Winfield, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.