Kennedy, Owen C

Kennedy, Owen C is an sole proprietor health care provider with primary practice located at 1807 N Center St , Beaver Dam WI 53916-1001. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Kennedy, Owen C can be contacted via phone (920) 887-8751.

Contact Information

Primary practice address
1807 N Center St Beaver Dam WI 53916-1001
Phone: (920) 887-8751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 7677-125 Wisconsin

Profile Details

NPI number 1598126294
LBN Legal business name Kennedy, Owen C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2016
Last updated Mar 7th, 2024 - about 8 months 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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