Kanikkeberg, Rodney

Kanikkeberg, Rodney is an individual health care provider with primary practice located at 317 W 6Th St Ste 208, Moscow ID 83843-2321. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kanikkeberg, Rodney can be contacted via phone (208) 882-3504.

Contact Information

Primary practice address
317 W 6Th St Ste 208 Moscow ID 83843-2321
Phone: (208) 882-3504
Fax: (208) 882-3572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-6234 Idaho

Profile Details

NPI number 1417308495
LBN Legal business name Kanikkeberg, Rodney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2016
Last updated Jun 30th, 2016 - about 10 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.

Request for update

Popular Providers