# KICKAPOO CARES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013852482
- **Authorized official:** DR. ANTHONY F SHAY ED.D., LPC (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (608) 634-2365

## Contact information

- **Practice address:** 110 N MAIN ST, WESTBY, WI 54667-1106
- **Practice address phone:** (608) 634-2365
- **Practice address fax:** (608) 634-6388
- **Mailing address:** 110 N MAIN ST, WESTBY, WI 54667-1106
- **Mailing address phone:** (608) 634-2365
- **Mailing address fax:** (608) 634-6388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 04/22/2026
- **Last updated:** 04/22/2026
