Wiggins, Kenny Wayne

Wiggins, Kenny Wayne is an individual health care provider with primary practice located at 7970 Martin Loop Bldg 9204 , Fort Moore GA 31905-5623. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Wiggins, Kenny Wayne can be contacted via phone (706) 545-9449.

Contact Information

Primary practice address
7970 Martin Loop Bldg 9204 Fort Moore GA 31905-5623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT 00931 Georgia

Profile Details

NPI number 1144495912
LBN Legal business name Wiggins, Kenny Wayne
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Sep 22nd, 2023 - about 2 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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