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Organization

KICKAPOO CARES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY F SHAY ED.D., LPC (OWNER/EXECUTIVE DIRECTOR)
(608) 634-2365
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle

Other

Enumeration date
04/22/2026
Last updated
04/22/2026
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