Storey, Kenneth Douglas

Storey, Kenneth Douglas is an individual health care provider with primary practice located at 1021 Quarrier St Suite 414, Charleston WV 25301-2338. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Storey, Kenneth Douglas can be contacted via phone (304) 340-3676.

Contact Information

Primary practice address
1021 Quarrier St Suite 414 Charleston WV 25301-2338
Phone: (304) 340-3676
Fax: (304) 340-3688
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X BP00944133 West Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X BP00944133 West Virginia

Profile Details

NPI number 1578905196
LBN Legal business name Storey, Kenneth Douglas
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2013
Last updated Jul 24th, 2013 - about 13 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 1578905196 NPPES
West Virginia MEDICAID 0023815000

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