Pesek, Kenneth
Pesek, Kenneth is an individual health care provider with primary practice located at 3050 S National Ave Ste 104 , Springfield MO 65804-4242. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Pesek, Kenneth can be contacted via phone (417) 597-4572.Contact Information
Primary practice address
3050 S National Ave Ste 104
Springfield MO 65804-4242
Phone: (417) 597-4572
Fax: (417) 882-1507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1508271891 |
|---|---|
| LBN Legal business name | Pesek, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Jun 25th, 2014 - about 10 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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