Panyanouvong, Kevin

Panyanouvong, Kevin is an sole proprietor health care provider with primary practice located at 800 Scenic Dr , Modesto CA 95350-6131. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Panyanouvong, Kevin can be contacted via phone (209) 525-6225.

Contact Information

Primary practice address
800 Scenic Dr Modesto CA 95350-6131
Phone: (209) 525-6225
Fax: (209) 558-4326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 25999 California

Profile Details

NPI number 1033245857
LBN Legal business name Panyanouvong, Kevin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Dec 20th, 2021 - about 3 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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