Individual
KELLY KEESECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 240-7106
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06503
KS
1041C0700X
Clinical Social Worker
06503
KS
Other
Enumeration date
10/11/2021
Last updated
08/11/2025
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