Krippner, Kevin M.

Krippner, Kevin M. is an individual health care provider with primary practice located at 403 W Virginia Ave , Normal IL 61761-3666. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Krippner, Kevin M. can be contacted via phone (309) 268-5547.

Contact Information

Primary practice address
403 W Virginia Ave Normal IL 61761-3666
Phone: (309) 268-5547
Fax: (309) 268-2913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 071004205 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071004205 Illinois

Profile Details

NPI number 1477576114
LBN Legal business name Krippner, Kevin M.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 26th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477576114 NPPES
Other 05732028 BLUE CROSS BLUE SHIELD

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