Favors, Kenneth Wayne

Favors, Kenneth Wayne is an sole proprietor health care provider with primary practice located at 8 Brompton Court , Elkton MD 21921. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Favors, Kenneth Wayne can be contacted via phone (410) 398-7104.

Contact Information

Primary practice address
8 Brompton Court Elkton MD 21921
Phone: (410) 398-7104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA1943 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCA1943 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LCA1943 Maryland

Profile Details

NPI number 1356884605
LBN Legal business name Favors, Kenneth Wayne
Credentials LCDADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2016
Last updated Nov 18th, 2016 - about 10 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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