Kinney, Ray Woodson

Kinney, Ray Woodson is an sole proprietor health care provider with primary practice located at 741 N Grand Ave #302, Waukesha WI 53186-4820. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kinney, Ray Woodson can be contacted via phone (262) 542-3255.

Contact Information

Primary practice address
741 N Grand Ave #302 Waukesha WI 53186-4820
Fax: (262) 542-0823
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4034-123 Wisconsin

Profile Details

NPI number 1881758928
LBN Legal business name Kinney, Ray Woodson
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 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 1881758928 NPPES
Wisconsin Other 4034-123 LICENSED CLINICAL SOCIAL

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