Victor, Kenneth J

Victor, Kenneth J is an individual health care provider with primary practice located at 6541 Specker Ave Bldg 1830 , Fort Carson CO 80913-4263. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Victor, Kenneth J can be contacted via phone (791) 526-7155.

Contact Information

Primary practice address
6541 Specker Ave Bldg 1830 Fort Carson CO 80913-4263
Phone: (791) 526-7155
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041162A Indiana

Profile Details

NPI number 1720066376
LBN Legal business name Victor, Kenneth J
Credentials PSY. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720066376 NPPES
Indiana MEDICAID 200165440
Indiana Other P00196681
Indiana Other P00453703

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