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KIMBERLY ANN KELLY-LORENZ
NPI 1093127979
Substance Abuse Rehabilitation Facility in Canadian, OK

Active since May 27, 2014
163 MOHAWK DR, CANADIAN, OK 74425(918) 339-5800(918) 339-5801 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Ann Kelly-lorenz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY ANN KELLY-LORENZ (NPI 1093127979) is an individual substance abuse rehabilitation facility provider in Canadian, Oklahoma and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1093127979
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameKIMBERLY ANN KELLY-LORENZ
Location Address163 MOHAWK DRCanadian, OK 74425-9747
Mailing Address163 Mohawk DrCanadian, OK 74425-9747 · (918) 339-5800 · Fax (918) 339-5801
Phone(918) 339-5800
Fax(918) 339-5801
Sole ProprietorYes
Enumeration DateMay 27, 2014
✔ NPI 1093127979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
163 MOHAWK DR, Canadian, OK 74425
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Kelly-lorenz's NPI number?

The NPI number for Kimberly Kelly-lorenz is 1093127979. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Kimberly Kelly-lorenz located?

Kimberly Kelly-lorenz practices at 163 Mohawk Dr, Canadian, OK 74425. The listed phone number is (918) 339-5800.

What is Kimberly Kelly-lorenz's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Kimberly Kelly-lorenz was last updated on May 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.