Greg Kennon in Austin - Addiction (substance Use Disorder)

Greg Kennon - NPI 1750502670

Greg Kennon is a Addiction (substance Use Disorder) in Austin, Texas. Greg Kennon practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Greg Kennon is 1750502670. The last update date is 2007-07-08.

Greg Kennon's current location address is 1631 E 2nd St Ste A, Austin, Texas. You can contact this provider via phone number 5124726261 and fax number 5124725857. The mailing address for Greg Kennon is 1631 E 2nd St Ste A, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Greg Kennon
Address 1631 E 2nd St Ste A, Austin, Texas
Phone Number 5124726261
Fax Number 5124725857
Sole Proprietor N
Credentials LCDC

NPI Number Detail

NPI Number 1750502670
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1631 E 2nd St Ste A
City Austin
State Texas (TX)
Post Code 787024491
Phone Number 5124726261
Fax Number 5124725857

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 2707
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Greg Kennon

What is the unique provider identifier assigned to Greg Kennon?

The Greg Kennon has been issued the NPI (National Provider Identifier) 1750502670 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Greg Kennon is geographically located?

The Greg Kennon is physically situated at the following location: 1631 E 2Nd St Ste A, Austin, TX, 787024491.

What is the Greg Kennon's specialty and taxonomy code?

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

When was the Greg Kennon's 1750502670 issued?

The Greg Kennon's 1750502670 was issued on 2007-05-01.

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

The information pertaining to Greg Kennon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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