Flanagan, Kenneth

Flanagan, Kenneth is an individual health care provider with primary practice located at 1351 Page Dr S Ste 202 , Fargo ND 58103-3536. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Flanagan, Kenneth can be contacted via phone (701) 353-9979.

Contact Information

Primary practice address
1351 Page Dr S Ste 202 Fargo ND 58103-3536
Phone: (701) 353-9979
Fax: (701) 212-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4497 North Dakota

Profile Details

NPI number 1326420936
LBN Legal business name Flanagan, Kenneth
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Dec 10th, 2021 - about 5 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 1326420936 NPPES
North Dakota Other 4497 LICENSE

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