Provider Demographics
NPI:1922780915
Name:STRIPLING, KAYCI
Entity Type:Individual
Prefix:
First Name:KAYCI
Middle Name:
Last Name:STRIPLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1403
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:WY
Mailing Address - Zip Code:82636-1403
Mailing Address - Country:US
Mailing Address - Phone:307-277-9324
Mailing Address - Fax:
Practice Address - Street 1:700 5TH ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:WY
Practice Address - Zip Code:82636-8535
Practice Address - Country:US
Practice Address - Phone:307-277-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care