Kussin, Kenneth David

Kussin, Kenneth David is an individual health care provider with primary practice located at 48 Conifer Ln , Murphysboro IL 62966-5242. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Kussin, Kenneth David can be contacted via phone (618) 559-3342.

Contact Information

Primary practice address
48 Conifer Ln Murphysboro IL 62966-5242
Phone: (618) 559-3342
Fax: (618) 559-3342
Website:
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Health care specialties

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

Profile Details

NPI number 1003320243
LBN Legal business name Kussin, Kenneth David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2017
Last updated Nov 27th, 2017 - about 8 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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