Pernicano, Kevin Michael

Pernicano, Kevin Michael is an sole proprietor health care provider with primary practice located at 8800 Village Drive Ste 209, San Antonio TX 78217. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pernicano, Kevin Michael can be contacted via phone (210) 202-0100.

Contact Information

Primary practice address
8800 Village Drive Ste 209 San Antonio TX 78217
Phone: (210) 202-0100
Fax: (210) 579-9705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 37643 Texas

Profile Details

NPI number 1083663835
LBN Legal business name Pernicano, Kevin Michael
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Mar 16th, 2020 - about 4 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 1083663835 NPPES
Texas MEDICAID 3749426
Texas Other 37643

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