Kevin Spading in Lake Elmo - Addiction (substance Use Disorder)
Kevin Spading - NPI 1972592954
Kevin Spading is a Addiction (substance Use Disorder) in Lake Elmo, Minnesota. Kevin Spading practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kevin Spading is 1972592954. The last update date is 2007-07-08.
Kevin Spading's current location address is 8669 Eagle Point Blvd, Lake Elmo, Minnesota. You can contact this provider via phone number 6513790444 and fax number 6513790434. The mailing address for Kevin Spading is 8669 Eagle Point Blvd, Lake Elmo, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Spading |
|---|---|
| Address | 8669 Eagle Point Blvd, Lake Elmo, Minnesota |
| Phone Number | 6513790444 |
| Fax Number | 6513790434 |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972592954 |
|---|---|
| Provider Enumeration Date | 2005-10-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8669 Eagle Point Blvd |
|---|---|
| City | Lake Elmo |
| State | Minnesota (MN) |
| Post Code | 550428628 |
| Phone Number | 6513790444 |
| Fax Number | 6513790434 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 300537 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 539T6SP | MN | BCBS ID# | |
| 62-57490 | MN | MEDICA/UBH ID# | |
| HP42060 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Spading by the Centers for Medicare & Medicaid Services?
The Kevin Spading has been assigned the NPI (National Provider Identifier) 1972592954. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kevin Spading's physical address?
The Kevin Spading is physically located at 8669 Eagle Point Blvd, in the city of Lake Elmo, MN, with the postal code 550428628.
What is the Kevin Spading's specialty and taxonomy code?
The Kevin Spading's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did Kevin Spading receive its 1972592954 assignment?
The Kevin Spading was assigned its 1972592954 on 2005-10-20, which is the date when this unique identifier was issued to the organization.
When was the Kevin Spading's information last updated?
The Kevin Spading's information was last updated on 2007-07-08.