Braconnier, Kenneth
Braconnier, Kenneth is an sole proprietor health care provider with primary practice located at 5301 Tieton Dr Suite C, Yakima WA 98908-3479. 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. Braconnier, Kenneth can be contacted via phone (509) 965-7100.Contact Information
Primary practice address
5301 Tieton Dr Suite C
Yakima WA 98908-3479
Phone: (509) 965-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60145197 | Washington |
Profile Details
| NPI number | 1346789435 |
|---|---|
| LBN Legal business name | Braconnier, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2017 |
| Last updated | Feb 22nd, 2017 - about 9 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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