Kelly Megahan

NPI #1346660602 in Parks, Arizona

Provider Information

NPI Number: 1346660602
Entity Type: Individual
Name: Kelly Megahan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Apr 24, 2014
Last Updated: Apr 24, 2014

Practice Location

Address: 3011 S SYCAMORE CANYON DRIVE
City: Parks
State: Arizona
ZIP Code: 86018-0304
Phone: (928) 853-4152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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