King, James Kevin

King, James Kevin is an sole proprietor health care provider with primary practice located at 261 Caren Ave , Worthington OH 43085-2526. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. King, James Kevin can be contacted via phone (614) 507-5985.

Contact Information

Primary practice address
261 Caren Ave Worthington OH 43085-2526
Phone: (614) 507-5985
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X WV1004354 Ohio

Profile Details

NPI number 1215338348
LBN Legal business name King, James Kevin
Credentials ED.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2014
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215338348 NPPES
Ohio MEDICAID WV1004354

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