Kennedy, Casey Jo

Kennedy, Casey Jo is an individual health care provider with primary practice located at 2715 Industrial St , Junction City KS 66441-8398. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kennedy, Casey Jo can be contacted via phone (785) 256-9096.

Contact Information

Primary practice address
2715 Industrial St Junction City KS 66441-8398
Phone: (785) 256-9096
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-46255 Kansas

Profile Details

NPI number 1881100303
LBN Legal business name Kennedy, Casey Jo
Credentials RBT-17-46255
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2017
Last updated Dec 20th, 2017 - about 7 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 1881100303 NPPES
Kansas Other RBT-17-46255 TRICARE

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