Beraduce, Kegan D

Beraduce, Kegan D is an individual health care provider with primary practice located at 3600 Olentangy River Rd # D-102 , Columbus OH 43214-3437. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Beraduce, Kegan D can be contacted via phone (614) 302-1478.

Contact Information

Primary practice address
3600 Olentangy River Rd # D-102 Columbus OH 43214-3437
Phone: (614) 302-1478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X S1450434 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1801343 Ohio

Profile Details

NPI number 1003293267
LBN Legal business name Beraduce, Kegan D
Credentials MSW LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Oct 4th, 2021 - about 4 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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