Kenyon, Anne Virginia
Kenyon, Anne Virginia is an sole proprietor health care provider with primary practice located at 444 E College Ave Suite 460, State College PA 16801-5558. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kenyon, Anne Virginia can be contacted via phone (814) 231-0940.Contact Information
Primary practice address
444 E College Ave Suite 460
State College PA 16801-5558
Phone: (814) 231-0940
Fax: (814) 231-4702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC002872 | Pennsylvania |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW004567E | Pennsylvania |
Profile Details
| NPI number | 1902963127 |
|---|---|
| LBN Legal business name | Kenyon, Anne Virginia |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1902963127 | NPPES |
| Pennsylvania | MEDICAID | 1722717 | |
| Pennsylvania | Other | 2106024 | |
| Pennsylvania | Other | 342657 | |
| Pennsylvania | Other | 394700 |
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