Willoughby, Kevin

Willoughby, Kevin is an individual health care provider with primary practice located at 380 Suwannee Trail Street , Bowling Green KY 42103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Willoughby, Kevin can be contacted via phone (270) 901-5000.

Contact Information

Primary practice address
380 Suwannee Trail Street Bowling Green KY 42103
Phone: (270) 901-5000
Fax: (270) 842-6553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1276 Kentucky

Profile Details

NPI number 1093825473
LBN Legal business name Willoughby, Kevin
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 4th, 2008 - about 17 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 1093825473 NPPES
Kentucky MEDICAID 30604011

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