Kennedy, Chanin Lee

Kennedy, Chanin Lee is an sole proprietor health care provider with primary practice located at 3041 University Ave Suite 5, Morgantown WV 26505-3362. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Kennedy, Chanin Lee can be contacted via phone (304) 598-0809.

Contact Information

Primary practice address
3041 University Ave Suite 5 Morgantown WV 26505-3362
Phone: (304) 598-0809
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 807 West Virginia

Profile Details

NPI number 1609952225
LBN Legal business name Kennedy, Chanin Lee
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jul 9th, 2007 - about 19 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 1609952225 NPPES
West Virginia MEDICAID 9202219000

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