Nydam, Kenneth John

Nydam, Kenneth John is an sole proprietor health care provider with primary practice located at 5839 Hope Way , Cadillac MI 49601-7085. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Nydam, Kenneth John can be contacted via phone (231) 942-8455.

Contact Information

Primary practice address
5839 Hope Way Cadillac MI 49601-7085
Phone: (231) 942-8455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1194990614
LBN Legal business name Nydam, Kenneth John
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2008
Last updated Jan 22nd, 2013 - about 11 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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