Collins, Kenneth Roy
Collins, Kenneth Roy is an sole proprietor health care provider with primary practice located at 1191 Nw Tahoe Ln , Silverdale WA 98383-7954. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Collins, Kenneth Roy can be contacted via phone (360) 698-4860.Contact Information
Primary practice address
1191 Nw Tahoe Ln
Silverdale WA 98383-7954
Phone: (360) 698-4860
Fax: (360) 698-3849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00009355 | Washington |
Profile Details
| NPI number | 1154974558 |
|---|---|
| LBN Legal business name | Collins, Kenneth Roy |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2019 |
| Last updated | Jul 24th, 2019 - about 5 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 | 1154974558 | NPPES |
| Washington | Other | LW00009355 | DEPARTMENT OF HEALTH |
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