Kenneth Arnold Weeden in Riverside - Addiction (substance Use Disorder)

Kenneth Arnold Weeden - NPI 1558319731

Kenneth Arnold Weeden is a Addiction (substance Use Disorder) in Riverside, Rhode Island. Kenneth Arnold Weeden practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kenneth Arnold Weeden is 1558319731. The last update date is 2010-01-13.

Kenneth Arnold Weeden's current location address is 610 Wampanoag Trl, Riverside, Rhode Island. You can contact this provider via phone number 4014319870 and fax number 4014381957. The mailing address for Kenneth Arnold Weeden is 610 Wampanoag Trl, Riverside, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Arnold Weeden
Address 610 Wampanoag Trl, Riverside, Rhode Island
Phone Number 4014319870
Fax Number 4014381957
Sole Proprietor N
Credentials L.C.D.P. ,

NPI Number Detail

NPI Number 1558319731
Provider Enumeration Date 2006-05-04
Last Updated Date 2010-01-13

Provider Mailing Address Detail

Address 610 Wampanoag Trl
City Riverside
State Rhode Island (RI)
Post Code 29151504
Phone Number 4014319870
Fax Number 4014381957

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No CDP00467
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
101YA0400X RI RI DEPT. OF HEALTH
KW31753 RI --

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FAQs about Kenneth Arnold Weeden

What is the Kenneth Arnold Weeden's unique identification number?

The Kenneth Arnold Weeden has been assigned the NPI (National Provider Identifier) Number 1558319731 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Kenneth Arnold Weeden?

The Kenneth Arnold Weeden is physically situated at 610 Wampanoag Trl, in the city of Riverside, state of RI, with the postal code 29151504.

What is the Kenneth Arnold Weeden's specialty and taxonomy code?

The Kenneth Arnold Weeden's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558319731 to Kenneth Arnold Weeden?

The Kenneth Arnold Weeden received its 1558319731 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.

As of what date was the information regarding Kenneth Arnold Weeden, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Arnold Weeden, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-13.

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