Organization
KAIROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY STARK (SKILLS COACH)
(541) 226-2880
Entity
Organization
Contact information
Practice address
711 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 474-5579
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
03/17/2018
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