Chisholm, Kenneth

Chisholm, Kenneth is an individual health care provider with primary practice located at 525 E 15Th St , Panama City FL 32405-5412. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Chisholm, Kenneth can be contacted via phone (850) 522-4485.

Contact Information

Primary practice address
525 E 15Th St Panama City FL 32405-5412
Phone: (850) 522-4485
Fax: (850) 914-6281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 0004904 Florida

Profile Details

NPI number 1700876711
LBN Legal business name Chisholm, Kenneth
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 17 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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