Oxley, Kenneth D
Oxley, Kenneth D is an sole proprietor health care provider with primary practice located at 3729 Teays Valley Rd Ste 100 , Hurricane WV 25526-9705. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Oxley, Kenneth D can be contacted via phone (304) 760-6040.Contact Information
Primary practice address
3729 Teays Valley Rd Ste 100
Hurricane WV 25526-9705
Phone: (304) 760-6040
Fax: (304) 760-6042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1105 | West Virginia |
Profile Details
| NPI number | 1104239821 |
|---|---|
| LBN Legal business name | Oxley, Kenneth D |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2014 |
| Last updated | Nov 12th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104239821 | NPPES |
| West Virginia | MEDICAID | 3810027771 | |
| West Virginia | MEDICAID | 7100309300 | |
| West Virginia | MEDICAID | 0106531 |
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