Dudley, Kenneth Curtis

Dudley, Kenneth Curtis is an sole proprietor health care provider with primary practice located at 1705 Main St Suite 501, Baker City OR 97814-3453. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Dudley, Kenneth Curtis can be contacted via phone (541) 523-4715.

Contact Information

Primary practice address
1705 Main St Suite 501 Baker City OR 97814-3453
Phone: (541) 523-4715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1656 Oregon

Profile Details

NPI number 1760416010
LBN Legal business name Dudley, Kenneth Curtis
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1760416010 NPPES
Oregon MEDICAID 83346

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