Martin, Kenneth Scott

Martin, Kenneth Scott is an individual health care provider with primary practice located at 4940 E State St , Rockford IL 61108-2270. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Martin, Kenneth Scott can be contacted via phone (815) 227-0081.

Contact Information

Primary practice address
4940 E State St Rockford IL 61108-2270
Phone: (815) 227-0081
Fax: (815) 387-5316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13193 Illinois

Profile Details

NPI number 1255438362
LBN Legal business name Martin, Kenneth Scott
Credentials CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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