Shields, Kenneth L.

Shields, Kenneth L. is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110, Fort Wayne IN 46845-1730. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Shields, Kenneth L. can be contacted via phone (260) 460-3203.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1730
Phone: (260) 460-3203
Fax: (260) 460-3130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39001242A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87001425A Indiana

Profile Details

NPI number 1548267743
LBN Legal business name Shields, Kenneth L.
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Dec 26th, 2012 - about 12 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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