Kaiser, Kenneth Joseph

Kaiser, Kenneth Joseph is an sole proprietor health care provider with primary practice located at 585 N Mountain Ave Ste B , Upland CA 91786-8516. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kaiser, Kenneth Joseph can be contacted via phone (909) 702-2068.

Contact Information

Primary practice address
585 N Mountain Ave Ste B Upland CA 91786-8516
Phone: (909) 702-2068
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS13358 California

Profile Details

NPI number 1306818653
LBN Legal business name Kaiser, Kenneth Joseph
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Mar 11th, 2020 - about 6 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 1306818653 NPPES
California MEDICAID CSW133580
California MEDICAID EPS011090

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