| Kairos | |
|
2314 N Grandview Blvd #309 Waukesha WI 53188-1675 | |
| (262) 707-7458 | |
| Not Available |
| Full Name | Kairos |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2314 N Grandview Blvd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Gary D Heath (DIRECTOR) |
| Authorized Official Contact | 2627077458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos 1366 E Sumner St #100 Hartford WI 53027-1614 Ph: (262) 707-7458 | Kairos 2314 N Grandview Blvd #309 Waukesha WI 53188-1675 Ph: (262) 707-7458 |
| NPI Number | 1407011901 |
|---|---|
| Provider Enumeration Date | 07/23/2008 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407011901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW 2027 (Wisconsin) | Primary |
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