Klein, Kenedi Jason

Klein, Kenedi Jason is an individual health care provider with primary practice located at 1008 Steeplechase Rd , Wilmington NC 28412-7206. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Klein, Kenedi Jason can be contacted via phone (910) 547-5063.

Contact Information

Primary practice address
1008 Steeplechase Rd Wilmington NC 28412-7206
Phone: (910) 547-5063
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005074 North Carolina

Profile Details

NPI number 1881667616
LBN Legal business name Klein, Kenedi Jason
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 14th, 2011 - about 15 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 1881667616 NPPES
North Carolina MEDICAID 6007241

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