Keane, Kenneth

Keane, Kenneth is an sole proprietor health care provider with primary practice located at 1560 Capalina Rd , San Marcos CA 92069-1288. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Keane, Kenneth can be contacted via phone (760) 744-2104.

Contact Information

Primary practice address
1560 Capalina Rd San Marcos CA 92069-1288
Phone: (760) 744-2104
Fax: (760) 744-1382
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A0010914 California

Profile Details

NPI number 1841694031
LBN Legal business name Keane, Kenneth
Credentials CADC-II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2014
Last updated Oct 16th, 2014 - about 12 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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