Gillespie, Kenneth

Gillespie, Kenneth is an individual health care provider with primary practice located at 209 Forty Mile Ave , Fairbanks AK 99701-3110. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Gillespie, Kenneth can be contacted via phone (907) 456-6445.

Contact Information

Primary practice address
209 Forty Mile Ave Fairbanks AK 99701-3110
Phone: (907) 456-6445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1124613716
LBN Legal business name Gillespie, Kenneth
Credentials PH.D, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2021
Last updated Mar 4th, 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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