Kenneth P Christian in Milwaukee - Clinical

Kenneth P Christian - NPI 1902815962

Kenneth P Christian is a Clinical in Milwaukee, Wisconsin. Kenneth P Christian practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth P Christian is 1902815962. The last update date is 2007-07-09.

Kenneth P Christian's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Kenneth P Christian is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth P Christian
Address 3301 W Forest Home Ave, Milwaukee, Wisconsin
Phone Number 4146476326
Fax Number 4146718860
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1902815962
Provider Enumeration Date 2006-08-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3301 W Forest Home Ave
City Milwaukee
State Wisconsin (WI)
Post Code 532152843
Phone Number 4146476326
Fax Number 4146718860

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1761-123
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39276000 WI --

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FAQs about Kenneth P Christian

What is the Kenneth P Christian's unique identification number?

The Kenneth P Christian has been assigned the NPI (National Provider Identifier) Number 1902815962 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Kenneth P Christian?

The Kenneth P Christian is situated at 3301 W Forest Home Ave, in the city of Milwaukee, state of WI, with the zip code 532152843.

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

The Kenneth P Christian's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1902815962 to Kenneth P Christian?

The Kenneth P Christian received its 1902815962 assignment from the Centers for Medicare & Medicaid Services on 2006-08-07.

When was the information related to Kenneth P Christian most recently updated or refreshed?

The details pertaining to the Kenneth P Christian, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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