Diamond, Kenneth Arthur
Diamond, Kenneth Arthur is an individual health care provider with primary practice located at 1317 Towne Square Rd. , Mequon WI 53092. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Diamond, Kenneth Arthur can be contacted via phone (262) 241-5099.Contact Information
Primary practice address
1317 Towne Square Rd.
Mequon WI 53092
Phone: (262) 241-5099
Fax: (262) 241-5054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | Wisconsin |
Profile Details
| NPI number | 1699969154 |
|---|---|
| LBN Legal business name | Diamond, Kenneth Arthur |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Oct 16th, 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 | 1699969154 | NPPES |
| Wisconsin | MEDICAID | 39209100 |
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