Swazer, Kenneth D

Swazer, Kenneth D is an individual health care provider with primary practice located at 4000 San Ernesto Ave , Anchorage AK 99508-2874. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Swazer, Kenneth D can be contacted via phone (907) 729-5020.

Contact Information

Primary practice address
4000 San Ernesto Ave Anchorage AK 99508-2874
Phone: (907) 729-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Alaska
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1548646961
LBN Legal business name Swazer, Kenneth D
Credentials BHT II
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2015
Last updated Apr 3rd, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548646961 NPPES
Alaska MEDICAID MH9780

Popular Providers