Kenneth Jay Headen in Greensboro - Psychiatry
Kenneth Jay Headen - NPI 1366654329
Kenneth Jay Headen is a Psychiatry in Greensboro, North Carolina. Kenneth Jay Headen practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth Jay Headen is 1366654329. The last update date is 2015-06-29.
Kenneth Jay Headen's current location address is 806 Summit Ave, Greensboro, North Carolina. You can contact this provider via phone number 3364372354 and fax number 3362791226. The mailing address for Kenneth Jay Headen is 806 Summit Ave, Greensboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Jay Headen |
|---|---|
| Address | 806 Summit Ave, Greensboro, North Carolina |
| Phone Number | 3364372354 |
| Fax Number | 3362791226 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366654329 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2015-06-29 |
Provider Mailing Address Detail
| Address | 806 Summit Ave |
|---|---|
| City | Greensboro |
| State | North Carolina (NC) |
| Post Code | 274057861 |
| Phone Number | 3364372354 |
| Fax Number | 3362791226 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 9400266 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5917028 | NC | -- |
Post Comment/ Review Below
What is the Kenneth Jay Headen's unique identification number?
The Kenneth Jay Headen has been assigned the NPI (National Provider Identifier) Number 1366654329 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Kenneth Jay Headen is physically located?
The Kenneth Jay Headen is situated at the following address: 806 Summit Ave, Greensboro, NC 274057861.
What is the Kenneth Jay Headen's specialty and taxonomy code?
The Kenneth Jay Headen's specialty is Psychiatry, and the corresponding taxonomy code is 2084P0800X.
On what date did the Kenneth Jay Headen receive its 1366654329 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Jay Headen was assigned its 1366654329 by the Centers for Medicare & Medicaid Services on 2007-05-04.
When was the information related to Kenneth Jay Headen most recently updated or refreshed?
The details pertaining to the Kenneth Jay Headen, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-29.
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