Kudrna, Michael Edward

Kudrna, Michael Edward is an sole proprietor health care provider with primary practice located at 2180 Johnson Ave , San Luis Obispo CA 93401-4558. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kudrna, Michael Edward can be contacted via phone (805) 788-2159.

Contact Information

Primary practice address
2180 Johnson Ave San Luis Obispo CA 93401-4558
Phone: (805) 788-2159
Fax: (805) 781-4866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1760937205
LBN Legal business name Kudrna, Michael Edward
Credentials CATC-III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2016
Last updated Apr 16th, 2021 - about 5 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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