Khamvongsa, Kevin

Khamvongsa, Kevin is an sole proprietor health care provider with primary practice located at 145 S Virginia St , Crystal Lake IL 60014-7226. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Khamvongsa, Kevin can be contacted via phone (815) 444-9999.

Contact Information

Primary practice address
145 S Virginia St Crystal Lake IL 60014-7226
Phone: (815) 444-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X S4S8C5H5 Illinois

Profile Details

NPI number 1467907170
LBN Legal business name Khamvongsa, Kevin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2016
Last updated Aug 23rd, 2016 - about 10 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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