Kokseng, Keith Richard
Kokseng, Keith Richard is an individual health care provider with primary practice located at 2804 1St Ave S , Saint Petersburg FL 33712-1002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kokseng, Keith Richard can be contacted via phone (813) 523-7563.Contact Information
Primary practice address
2804 1St Ave S
Saint Petersburg FL 33712-1002
Phone: (813) 523-7563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY9814 | Florida |
Profile Details
| NPI number | 1356476782 |
|---|---|
| LBN Legal business name | Kokseng, Keith Richard |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jun 22nd, 2022 - about 2 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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