Kenneth Wiggins in San Diego - Addiction (substance Use Disorder)

Kenneth Wiggins - NPI 1194980250

Kenneth Wiggins is a Addiction (substance Use Disorder) in San Diego, California. Kenneth Wiggins practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kenneth Wiggins is 1194980250. The last update date is 2008-07-28.

Kenneth Wiggins's current location address is 1515 Palm Ave, San Diego, California. You can contact this provider via phone number 6194294117. The mailing address for Kenneth Wiggins is 1515 Palm Ave, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Wiggins
Address 1515 Palm Ave, San Diego, California
Phone Number 6194294117
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1194980250
Provider Enumeration Date 2008-07-28
Last Updated Date 2008-07-28

Provider Mailing Address Detail

Address 1515 Palm Ave
City San Diego
State California (CA)
Post Code 921541011
Phone Number 6194294117
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 370069QN
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3719 CA --

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FAQs about Kenneth Wiggins

What is the Kenneth Wiggins's 1194980250?

The Kenneth Wiggins's NPI (National Provider Identifier) Number is 1194980250. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kenneth Wiggins is physically located?

The Kenneth Wiggins is situated at the following address: 1515 Palm Ave, San Diego, CA 921541011.

What is Kenneth Wiggins's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Wiggins is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did Kenneth Wiggins receive its 1194980250 assignment?

The Kenneth Wiggins was assigned its 1194980250 on 2008-07-28, which is the date when this unique identifier was issued to the organization.

When was the information regarding Kenneth Wiggins, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenneth Wiggins, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-28.

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