Thomas, Kenneth
Thomas, Kenneth is an individual health care provider with primary practice located at 7 Rio San Jose , Laguna NM 87026. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Thomas, Kenneth can be contacted via phone (505) 401-8369.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3658 | New Mexico |
Profile Details
| NPI number | 1316589534 |
|---|---|
| LBN Legal business name | Thomas, Kenneth |
| Credentials | LADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2019 |
| Last updated | Oct 9th, 2019 - 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 | 1316589534 | NPPES |
| New Mexico | Other | 3658 | NEW MEXICO BEHAVIORAL HEALTH |
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