Wood, Kenneth

Wood, Kenneth is an sole proprietor health care provider with primary practice located at 1376 Fruitvale Rd # Day , Newport OR 97365-9671. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Wood, Kenneth can be contacted via phone (541) 265-7945.

Contact Information

Primary practice address
1376 Fruitvale Rd # Day Newport OR 97365-9671
Phone: (541) 265-7945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1134770332
LBN Legal business name Wood, Kenneth
Credentials CRM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2019
Last updated Jan 15th, 2020 - about 5 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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