Hagen, Kenneth J

Hagen, Kenneth J is an individual health care provider with primary practice located at 3500 Sw 6Th Ave Suite 116, Topeka KS 66606-2806. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hagen, Kenneth J can be contacted via phone (785) 233-7138.

Contact Information

Primary practice address
3500 Sw 6Th Ave Suite 116 Topeka KS 66606-2806
Phone: (785) 233-7138
Fax: (785) 233-7089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0637 Kansas

Profile Details

NPI number 1750353959
LBN Legal business name Hagen, Kenneth J
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Oct 2nd, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750353959 NPPES
Kansas MEDICAID 200005510A

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