Colby, Kenneth Andrew
Colby, Kenneth Andrew is an individual health care provider with primary practice located at 146 Hazard Avenue Suite 206, Enfield CT 06082. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Colby, Kenneth Andrew can be contacted via phone (860) 763-3602.Contact Information
Primary practice address
146 Hazard Avenue Suite 206
Enfield CT 06082
Phone: (860) 763-3602
Fax: (860) 749-1456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 000474 | Connecticut |
Profile Details
| NPI number | 1063528941 |
|---|---|
| LBN Legal business name | Colby, Kenneth Andrew |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063528941 | NPPES |
| Connecticut | MEDICAID | 4007845 |
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