Collins, Kevin Dean

Collins, Kevin Dean is an individual health care provider with primary practice located at 1026 E 1St St , Port Angeles WA 98362-4020. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Collins, Kevin Dean can be contacted via phone (360) 452-4432.

Contact Information

Primary practice address
1026 E 1St St Port Angeles WA 98362-4020
Phone: (360) 452-4432
Fax: (360) 452-4599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00001181 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X RC00017145 Washington

Profile Details

NPI number 1013098219
LBN Legal business name Collins, Kevin Dean
Credentials CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 15th, 2011 - about 13 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 1013098219 NPPES
Washington MEDICAID 1981018

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