Thomas, Kenneth Herbert
Thomas, Kenneth Herbert is an individual health care provider with primary practice located at Usa Meddac 11050 Mt Belvedere Blvd, Fort Drum NY 13602-4025. 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 Herbert can be contacted via phone (315) 772-8801.Contact Information
Primary practice address
Usa Meddac 11050 Mt Belvedere Blvd
Fort Drum NY 13602-4025
Phone: (315) 772-8801
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1234436 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8778 | New York |
Profile Details
| NPI number | 1023092335 |
|---|---|
| LBN Legal business name | Thomas, Kenneth Herbert |
| Credentials | CASAC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Jul 8th, 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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