Individual
KAYCE NIKCOLE MCGILVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW, EFDA
Contact information
Practice address
1289 WINCHESTER AVE, REEDSPORT, OR 97467-1373
(541) 699-2186
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(541) 699-2186
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
THW000109853
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
07/10/2024
Last updated
07/10/2024
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