Kenbok, Jessica Jo
Kenbok, Jessica Jo is an sole proprietor health care provider with primary practice located at 30 Glade Run Dr , Zelienople PA 16063-2200. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kenbok, Jessica Jo can be contacted via phone (724) 452-4453.Contact Information
Primary practice address
30 Glade Run Dr
Zelienople PA 16063-2200
Phone: (724) 452-4453
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1902561301 |
|---|---|
| LBN Legal business name | Kenbok, Jessica Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2021 |
| Last updated | Nov 1st, 2021 - about 3 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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