About Kellan Stack, LCSW
Kellan Stack, LCSW is a Clinical healthcare provider based in Evans, Colorado. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 12/19/2018. The National Provider Identifier (NPI) number assigned to this provider is 1114499811.
No pharmaceutical payment records or Medicare utilization data were found in the CMS databases for this provider. This does not reflect on the quality of care provided.
Practice Information
- Specialty Clinical
- Location Evans, CO
- Active Since 12/19/2018
- Last Updated 07/01/2025
- Taxonomy Code 1041C0700X
- Entity Type Individual
- NPI Number 1114499811
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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