Lunog, Kevin P

Lunog, Kevin P is an individual health care provider with primary practice located at 200 Hickory Street , Mauston WI 53948. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lunog, Kevin P can be contacted via phone (608) 847-2400.

Contact Information

Primary practice address
200 Hickory Street Mauston WI 53948
Phone: (608) 847-2400
Fax: (608) 847-9599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1594-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 1020 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 1020-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3191 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3191-123 Wisconsin

Profile Details

NPI number 1790958973
LBN Legal business name Lunog, Kevin P
Credentials LCSW, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790958973 NPPES
Wisconsin MEDICAID 39273700

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