Kean, Kathleen Michele

Kean, Kathleen Michele is an sole proprietor health care provider with primary practice located at 12274B Ashley Dr , Gulfport MS 39503-2759. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kean, Kathleen Michele can be contacted via phone (228) 452-6023.

Contact Information

Primary practice address
12274B Ashley Dr Gulfport MS 39503-2759
Phone: (228) 452-6023
Fax: (228) 452-6024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2096 Mississippi

Profile Details

NPI number 1821421918
LBN Legal business name Kean, Kathleen Michele
Credentials LPC-S, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2013
Last updated Apr 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821421918 NPPES
Mississippi MEDICAID 02204274

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