Gomez, Kenneth W

Gomez, Kenneth W is an individual health care provider with primary practice located at 852 Merrimon Ave , Asheville NC 28804-2405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Gomez, Kenneth W can be contacted via phone (828) 251-6091.

Contact Information

Primary practice address
852 Merrimon Ave Asheville NC 28804-2405
Phone: (828) 251-6091
Fax: (828) 251-6911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1436 North Carolina

Profile Details

NPI number 1962523175
LBN Legal business name Gomez, Kenneth W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jun 21st, 2012 - 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 1962523175 NPPES
North Carolina Other 03400 BLUE CROSS AND BLUE SHIELD
North Carolina MEDICAID 3403418 BLUE CROSS AND BLUE SHIELD

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