Greene, Kevan
Greene, Kevan is an individual health care provider with primary practice located at 860 S. Columbia Rd , Grand Forks ND 58201. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Greene, Kevan can be contacted via phone (701) 780-6697.Contact Information
Primary practice address
860 S. Columbia Rd
Grand Forks ND 58201
Phone: (701) 780-6697
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4610 | North Dakota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 4610 | North Dakota |
Profile Details
| NPI number | 1861731002 |
|---|---|
| LBN Legal business name | Greene, Kevan |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2013 |
| Last updated | Nov 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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