Allen, Kenneth Ray

Allen, Kenneth Ray is an individual health care provider with primary practice located at 202 E Bagley Rd , Berea OH 44017-2058. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Allen, Kenneth Ray can be contacted via phone (440) 787-3915.

Contact Information

Primary practice address
202 E Bagley Rd Berea OH 44017-2058
Phone: (440) 787-3915
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S-0015383 Ohio

Profile Details

NPI number 1851439715
LBN Legal business name Allen, Kenneth Ray
Credentials M.A., L.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jan 27th, 2012 - about 12 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 1851439715 NPPES
Ohio Other 000000125415 ANTHEM
Ohio Other 733322000 ANTHEM

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