Liberty, Kenneth B

Liberty, Kenneth B is an individual health care provider with primary practice located at 175 W Broadway , Lincoln ME 04457-4000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Liberty, Kenneth B can be contacted via phone (207) 794-6700.

Contact Information

Primary practice address
175 W Broadway Lincoln ME 04457-4000
Phone: (207) 794-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS1359 Maine

Profile Details

NPI number 1124371778
LBN Legal business name Liberty, Kenneth B
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2012
Last updated Feb 26th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124371778 NPPES
Maine Other 103T00000X ANTHEM BLUE CROSS

Popular Providers