Kenneth Kabonic in Springfield - Clinical

Kenneth Kabonic - NPI 1598955601

Kenneth Kabonic is a Clinical in Springfield, Missouri. Kenneth Kabonic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Kabonic is 1598955601. The last update date is 2007-07-26.

Kenneth Kabonic's current location address is 1300 E Bradford Pkwy, Springfield, Missouri. You can contact this provider via phone number 4172695400 and fax number 4172697212. The mailing address for Kenneth Kabonic is 1300 E Bradford Pkwy, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Kabonic
Address 1300 E Bradford Pkwy, Springfield, Missouri
Phone Number 4172695400
Fax Number 4172697212
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1598955601
Provider Enumeration Date 2007-07-26
Last Updated Date 2007-07-26

Provider Mailing Address Detail

Address 1300 E Bradford Pkwy
City Springfield
State Missouri (MO)
Post Code 658044264
Phone Number 4172695400
Fax Number 4172697212

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1052
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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FAQs about Kenneth Kabonic

What is the unique 10-digit identifier code assigned to Kenneth Kabonic by the Centers for Medicare & Medicaid Services?

The Kenneth Kabonic has been issued the NPI (National Provider Identifier) 1598955601 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Kenneth Kabonic located?

The Kenneth Kabonic is located at 1300 E Bradford Pkwy, Springfield, MO 658044264.

What is Kenneth Kabonic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kenneth Kabonic is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Kenneth Kabonic receive its 1598955601 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth Kabonic was assigned its 1598955601 by the Centers for Medicare & Medicaid Services on 2007-07-26.

As of what date were the Kenneth Kabonic's details last updated?

The information pertaining to the Kenneth Kabonic, including its address, specialty, and other details, was most recently updated on 2007-07-26.

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