Kearney, Jeffrey

Kearney, Jeffrey is an sole proprietor health care provider with primary practice located at 3812 8Th St N Ste 200 , Saint Cloud MN 56303-1421. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Kearney, Jeffrey can be contacted via phone (320) 258-3833.

Contact Information

Primary practice address
3812 8Th St N Ste 200 Saint Cloud MN 56303-1421
Phone: (320) 258-3833
Fax: (320) 253-5741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP3727 Minnesota

Profile Details

NPI number 1962469171
LBN Legal business name Kearney, Jeffrey
Credentials PHD, LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2006
Last updated Nov 22nd, 2019 - about 7 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 1962469171 NPPES
Minnesota Other 2028601 BLUE CROSS
Minnesota Other 88805 BLUE CROSS
Minnesota Other 1015046 BLUE CROSS
Minnesota Other 167303 BLUE CROSS
Minnesota Other 268J3KE BLUE CROSS
Minnesota Other 6174715 BLUE CROSS
Minnesota MEDICAID 902716500 BLUE CROSS

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