Fountain, Kedeisha
Fountain, Kedeisha is an individual health care provider with primary practice located at 821 Success Ave , Stratford CT 06614-3731. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fountain, Kedeisha can be contacted via phone (475) 243-8875.Contact Information
Primary practice address
821 Success Ave
Stratford CT 06614-3731
Phone: (475) 243-8875
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1184897084 |
|---|---|
| LBN Legal business name | Fountain, Kedeisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2008 |
| Last updated | Oct 12th, 2023 - about 3 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.
Popular Providers
-
Humphreys, Nancy D
2505 Main St Suite 202B, Stratford CT 06615-5839 -
Heaven, Holly
2225 Main St , Stratford CT 06615-5920 -
Cayo, Javonna
126 Colony St , Stratford CT 06615-5728 -
Albino, Christopher
3241 Main St Ste A , Stratford CT 06614-4850 -
Macari, Tameria
3095 Main St 2Nd Floor, Stratford CT 06614-4852 -
Pecoroni, Richard William
3017 Main St 2Nd Floor, Stratford CT 06614-4977 -
Powell-Reeves, Paulette Iris
2874 Main St Suite 2 E, Second Floor, Stratford CT 06614-4957 -
Damon, Elizabeth Rose
4021 Main St 1F, Stratford CT 06614-3568