House, Kenny
House, Kenny is an individual health care provider with primary practice located at 615 Shipyard Blvd , Wilmington NC 28412-6431. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. House, Kenny can be contacted via phone (910) 343-0145.Contact Information
Primary practice address
615 Shipyard Blvd
Wilmington NC 28412-6431
Phone: (910) 343-0145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6110508 | North Carolina |
Profile Details
| NPI number | 1295867067 |
|---|---|
| LBN Legal business name | House, Kenny |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 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 | 1295867067 | NPPES |
| North Carolina | MEDICAID | 6110508 |
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