Green, Kenneth

Green, Kenneth is an individual health care provider with primary practice located at 408 S Broadview St , Cape Girardeau MO 63703-5725. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Kenneth can be contacted via phone (573) 332-0808.

Contact Information

Primary practice address
408 S Broadview St Cape Girardeau MO 63703-5725
Phone: (573) 332-0808
Fax: (573) 339-7945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003361 Missouri

Profile Details

NPI number 1427229194
LBN Legal business name Green, Kenneth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Mar 20th, 2008 - about 17 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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