| Kasey Wiggam Llc | |
|
467 Arbor Dr Carmel IN 46032-5849 | |
| (317) 447-4788 | |
| Not Available |
| Full Name | Kasey Wiggam Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 467 Arbor Dr, Carmel, Indiana |
| Authorized Official Name and Position | Kasey Wiggam (OWNER) |
| Authorized Official Contact | 3174474788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasey Wiggam Llc 467 Arbor Dr Carmel IN 46032-5849 Ph: (317) 447-4788 | Kasey Wiggam Llc 467 Arbor Dr Carmel IN 46032-5849 Ph: (317) 447-4788 |
| NPI Number | 1679289086 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Certification Date | 01/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679289086 | NPI | - | NPPES |
| 1295493492 | Other | IN | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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