Kevin M Polky is a Clinical in Rockford, Illinois. Kevin M Polky practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin M Polky is 1902094469. The last update date is 2007-10-10.
Kevin M Polky's current location address is 461 N Mulford Rd, Rockford, Illinois. You can contact this provider via phone number 8153951141 and fax number 8153951117. The mailing address for Kevin M Polky is 461 N Mulford Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin M Polky |
|---|---|
| Address | 461 N Mulford Rd, Rockford, Illinois |
| Phone Number | 8153951141 |
| Fax Number | 8153951117 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902094469 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 461 N Mulford Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611075190 |
| Phone Number | 8153951141 |
| Fax Number | 8153951117 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Kevin M Polky's 1902094469?
The Kevin M Polky's NPI (National Provider Identifier) Number is 1902094469. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin M Polky?
The Kevin M Polky is situated at 461 N Mulford Rd, in the city of Rockford, state of IL, with the zip code 611075190.
What is Kevin M Polky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin M Polky's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did the Kevin M Polky receive its 1902094469?
The Kevin M Polky was issued its 1902094469 on 2007-10-10, which is the date when the organization was assigned this unique identifier.
When was the information related to Kevin M Polky most recently updated or refreshed?
The details pertaining to the Kevin M Polky, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-10.
NPI Number: 1083602577
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