Jennings, Keith W

Jennings, Keith W is an individual health care provider with primary practice located at 2817 Reilly Road Womack Army Medical Center, Fort Bragg NC 28307. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jennings, Keith W can be contacted via phone (910) 243-9262.

Contact Information

Primary practice address
2817 Reilly Road Womack Army Medical Center Fort Bragg NC 28307
Phone: (910) 243-9262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005241 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5042 North Carolina

Profile Details

NPI number 1922479641
LBN Legal business name Jennings, Keith W
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2015
Last updated Nov 6th, 2016 - about 10 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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