Smith, Ken D

Smith, Ken D is an sole proprietor health care provider with primary practice located at 3 Union St , Brandon VT 05733-1127. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Smith, Ken D can be contacted via phone (802) 247-3136.

Contact Information

Primary practice address
3 Union St Brandon VT 05733-1127
Phone: (802) 247-3136
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000401 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0680000419 Vermont

Profile Details

NPI number 1841311248
LBN Legal business name Smith, Ken D
Credentials M.A., LCMHC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841311248 NPPES
Vermont MEDICAID 1007742
Vermont Other 49976

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