Little, Kenneth B.

Little, Kenneth B. is an sole proprietor health care provider with primary practice located at 1935 County Road B2 W Ste 120 , Roseville MN 55113-2722. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Little, Kenneth B. can be contacted via phone (651) 964-0235.

Contact Information

Primary practice address
1935 County Road B2 W Ste 120 Roseville MN 55113-2722
Phone: (651) 964-0235
Fax: (651) 340-5652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0568 Minnesota

Profile Details

NPI number 1104869528
LBN Legal business name Little, Kenneth B.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Aug 19th, 2019 - about 5 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 1104869528 NPPES
Minnesota Other 1032815 PREFERREDONE
Minnesota Other 229D0LI PREFERREDONE
Minnesota Other 143646 PREFERREDONE
Minnesota Other HP50066 PREFERREDONE
Minnesota Other 62-47135 PREFERREDONE
Minnesota MEDICAID 976847500 PREFERREDONE

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