Individual
KELLY MARIE GROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 N RIVERVIEW ST STE 730, WICHITA, KS 67203-4267
(316) 202-2110
Mailing address
810 RUNNING HORSE LN, ARKANSAS CITY, KS 67005-9391
(620) 218-1885
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW14394
KS
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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