Kuschel, Ken W

Kuschel, Ken W is an sole proprietor health care provider with primary practice located at 112 S Madison Ave , Aurora MO 65605-1427. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kuschel, Ken W can be contacted via phone (417) 678-6233.

Contact Information

Primary practice address
112 S Madison Ave Aurora MO 65605-1427
Fax: (417) 847-1765
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2002026260 Missouri

Profile Details

NPI number 1306837604
LBN Legal business name Kuschel, Ken W
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Sep 25th, 2023 - about 3 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 1306837604 NPPES
Missouri Other 11408272 CAQH
Missouri MEDICAID 495100174 CAQH

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