Williamson, Kevin James

Williamson, Kevin James is an individual health care provider with primary practice located at 3500 Carnegie Ave , Cleveland OH 44115-2641. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Williamson, Kevin James can be contacted via phone (440) 260-8436.

Contact Information

Primary practice address
3500 Carnegie Ave Cleveland OH 44115-2641
Phone: (440) 260-8436
Fax: (440) 260-8576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701002759 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0008231-SUPV Ohio

Profile Details

NPI number 1386622934
LBN Legal business name Williamson, Kevin James
Credentials PCC-S
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386622934 NPPES
Other 334394 TRIGON PPU
Other 023469000 TRIGON PPU
MEDICAID 010082765 TRIGON PPU
Other 334392 TRIGON PPU
MEDICAID 010082862 TRIGON PPU
Other 334393 TRIGON PPU

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