Kilbourne, Brock Kenneth
Kilbourne, Brock Kenneth is an sole proprietor health care provider with primary practice located at 2181 S El Camino Real Ste 307 , Oceanside CA 92054-6288. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kilbourne, Brock Kenneth can be contacted via phone (760) 722-4233.Contact Information
Primary practice address
2181 S El Camino Real Ste 307
Oceanside CA 92054-6288
Phone: (760) 722-4233
Fax: (760) 722-4232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY10467 | California |
Profile Details
| NPI number | 1467586701 |
|---|---|
| LBN Legal business name | Kilbourne, Brock Kenneth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 9th, 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 | 1467586701 | NPPES |
| California | MEDICAID | PSY10467 |
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