Severson, Kayla Frances

Severson, Kayla Frances is an individual health care provider with primary practice located at 840 State Road 136 Ste 1 , Baraboo WI 53913-9252. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Severson, Kayla Frances can be contacted via phone (608) 477-9858.

Contact Information

Primary practice address
840 State Road 136 Ste 1 Baraboo WI 53913-9252
Phone: (608) 477-9858
Fax: (877) 560-0578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16324-131 Wisconsin

Profile Details

NPI number 1922460443
LBN Legal business name Severson, Kayla Frances
Credentials MA, SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Mar 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922460443 NPPES
Wisconsin MEDICAID 100079039

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