Burton, Kenneth
Burton, Kenneth is an individual health care provider with primary practice located at 7507 Ne 51St St , Vancouver WA 98662-6007. 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. Burton, Kenneth can be contacted via phone (360) 906-1190.Contact Information
Primary practice address
7507 Ne 51St St
Vancouver WA 98662-6007
Phone: (360) 906-1190
Fax: (360) 906-1193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | RC00040371 | Washington |
Profile Details
| NPI number | 1306900758 |
|---|---|
| LBN Legal business name | Burton, Kenneth |
| Credentials | B.A.,CDPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306900758 | NPPES |
| Oregon | MEDICAID | 164936 |
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