Kuykendall, David A
Kuykendall, David A is an individual health care provider with primary practice located at 1500 W Main St Suite 300 Phoenix Counseling, Sun Prairie WI 53590. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kuykendall, David A can be contacted via phone (608) 825-6711.Contact Information
Primary practice address
1500 W Main St Suite 300 Phoenix Counseling
Sun Prairie WI 53590
Phone: (608) 825-6711
Fax: (608) 834-6499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 645123 | Wisconsin |
Profile Details
| NPI number | 1881778884 |
|---|---|
| LBN Legal business name | Kuykendall, David A |
| Credentials | LCSW CADC III CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1881778884 | NPPES |
| Wisconsin | Other | 645123 | STATE OF WI |
| Wisconsin | Other | 220 | STATE OF WI |
| Wisconsin | MEDICAID | 39517000 | STATE OF WI |
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