Israel, Kenneth James

Israel, Kenneth James is an individual health care provider with primary practice located at 3600 Lincoln Way Suite 4, Ames IA 50014-7595. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Israel, Kenneth James can be contacted via phone (515) 239-4410.

Contact Information

Primary practice address
3600 Lincoln Way Suite 4 Ames IA 50014-7595
Fax: (515) 663-4885
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00910 Iowa

Profile Details

NPI number 1457331167
LBN Legal business name Israel, Kenneth James
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jul 8th, 2007 - about 19 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 1457331167 NPPES
Iowa Other 33401 BLUE SHIELD OF IOWA

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