Kenny, Sean J

Kenny, Sean J is an sole proprietor health care provider with primary practice located at 233 Fulton St E Suite 428, Grand Rapids MI 49503-3200. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Kenny, Sean J can be contacted via phone (616) 752-8381.

Contact Information

Primary practice address
233 Fulton St E Suite 428 Grand Rapids MI 49503-3200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301009458 Michigan

Profile Details

NPI number 1437165685
LBN Legal business name Kenny, Sean J
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1437165685 NPPES
Michigan Other 68-0-D1-4643-0 BLUE CROSS PROVIDER ID

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