Kloth, Randall

Kloth, Randall is an individual health care provider with primary practice located at 115 Rockwood Ln , Hazard KY 41701-9415. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kloth, Randall can be contacted via phone (606) 436-5761.

Contact Information

Primary practice address
115 Rockwood Ln Hazard KY 41701-9415
Phone: (606) 436-5761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0180 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 104182 Kentucky

Profile Details

NPI number 1215977319
LBN Legal business name Kloth, Randall
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 30th, 2018 - about 6 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 1215977319 NPPES
Kentucky MEDICAID 7100290320
Kentucky MEDICAID 30612022

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