O'Connor, Kendra S

O'Connor, Kendra S is an individual health care provider with primary practice located at 4214 Hobson Ct , Fort Wayne IN 46815-8648. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Connor, Kendra S can be contacted via phone (260) 486-5251.

Contact Information

Primary practice address
4214 Hobson Ct Fort Wayne IN 46815-8648
Phone: (260) 486-5251
Fax: (260) 486-5058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005068A Indiana

Profile Details

NPI number 1659330439
LBN Legal business name O'Connor, Kendra S
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 23rd, 2010 - about 16 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 1659330439 NPPES
Indiana Other 000000663845 ANTHEM BLUE CROSS BLUE SHIELD

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