Fagan, Kevin Charles
Fagan, Kevin Charles is an sole proprietor health care provider with primary practice located at 931 Jefferson Blvd. Suite 2009, Warwick RI 02886. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fagan, Kevin Charles can be contacted via phone (401) 921-5400.Contact Information
Primary practice address
931 Jefferson Blvd. Suite 2009
Warwick RI 02886
Phone: (401) 921-5400
Fax: (401) 921-5402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01620 | Rhode Island |
Profile Details
| NPI number | 1396891719 |
|---|---|
| LBN Legal business name | Fagan, Kevin Charles |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jun 22nd, 2011 - about 15 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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