Promenchenkel, Kathy L

Promenchenkel, Kathy L is an individual health care provider with primary practice located at 58945 Business Center Dr Ste J , Yucca Valley CA 92284-7310. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Promenchenkel, Kathy L can be contacted via phone (760) 369-1074.

Contact Information

Primary practice address
58945 Business Center Dr Ste J Yucca Valley CA 92284-7310
Phone: (760) 369-1074
Fax: (760) 418-8271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1406 California

Profile Details

NPI number 1700062528
LBN Legal business name Promenchenkel, Kathy L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2008
Last updated May 25th, 2023 - about last year

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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