Siscoe, Kevin

Siscoe, Kevin is an individual health care provider with primary practice located at 6615 N Big Hollow Rd , Peoria IL 61615-2450. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Siscoe, Kevin can be contacted via phone (309) 692-6622.

Contact Information

Primary practice address
6615 N Big Hollow Rd Peoria IL 61615-2450
Phone: (309) 692-6622
Fax: (309) 692-6952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180008974 Illinois

Profile Details

NPI number 1043632524
LBN Legal business name Siscoe, Kevin
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2014
Last updated Oct 3rd, 2024 - about 2 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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