Kennel, Richard G
Kennel, Richard G is an individual health care provider with primary practice located at 2901 Ohio Blvd Suite 202, Terre Haute IN 47803-2239. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kennel, Richard G can be contacted via phone (812) 232-2144.Contact Information
Primary practice address
2901 Ohio Blvd Suite 202
Terre Haute IN 47803-2239
Phone: (812) 232-2144
Fax: (812) 234-4598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041262A | Illinois |
Profile Details
| NPI number | 1942209127 |
|---|---|
| LBN Legal business name | Kennel, Richard G |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jun 26th, 2014 - about 11 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 | 1942209127 | NPPES |
| Indiana | MEDICAID | 200192280 |
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