Andrew Kenagy Llc | |
2266 Mcgilchrist St Se Unit 3 Salem OR 97302-1019 | |
(503) 272-1445 | |
Not Available |
Full Name | Andrew Kenagy Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 2266 Mcgilchrist St Se Unit 3, Salem, Oregon |
Authorized Official Name and Position | Andrew Kenagy (OWNER) |
Authorized Official Contact | 5032721445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Andrew Kenagy Llc 2601 25th St Se Ste 420 Salem OR 97302-1285 Ph: () - | Andrew Kenagy Llc 2266 Mcgilchrist St Se Unit 3 Salem OR 97302-1019 Ph: (503) 272-1445 |
NPI Number | 1336882448 |
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Provider Enumeration Date | 04/16/2022 |
Last Update Date | 04/16/2022 |
Certification Date | 04/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336882448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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