Stefano, Kenneth

Stefano, Kenneth is an sole proprietor health care provider with primary practice located at 6345 Executive Blvd , Rockville MD 20852-3905. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Stefano, Kenneth can be contacted via phone (301) 770-7507.

Contact Information

Primary practice address
6345 Executive Blvd Rockville MD 20852-3905
Fax: (301) 770-3576
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 3166 Maryland

Profile Details

NPI number 1780051755
LBN Legal business name Stefano, Kenneth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 11 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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