Durham, Kenton

Durham, Kenton is an sole proprietor health care provider with primary practice located at 2960 W Enon Rd , Xenia OH 45385-8548. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Durham, Kenton can be contacted via phone (937) 272-4925.

Contact Information

Primary practice address
2960 W Enon Rd Xenia OH 45385-8548
Phone: (937) 272-4925
Fax: (937) 984-4346
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.182506 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.186062 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X M.2400388-TRNE Ohio

Profile Details

NPI number 1326755729
LBN Legal business name Durham, Kenton
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2022
Last updated May 7th, 2024 - about 2 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 1326755729 NPPES
Ohio MEDICAID 0002801

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