| Kenneth L Hennefer And Associates, Llc | |
|
7321 S State St Suite Ab Midvale UT 84047-2055 | |
| (801) 352-2844 | |
| (801) 942-1973 |
| Full Name | Kenneth L Hennefer And Associates, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7321 S State St, Midvale, Utah |
| Authorized Official Name and Position | Kenneth L Hennefer (DIRECTOR) |
| Authorized Official Contact | 8013522844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth L Hennefer And Associates, Llc 7321 S State St Suite Ab Midvale UT 84047-2055 Ph: (801) 352-2844 | Kenneth L Hennefer And Associates, Llc 7321 S State St Suite Ab Midvale UT 84047-2055 Ph: (801) 352-2844 |
| NPI Number | 1316261167 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 06/12/2015 |
| Medicare PECOS PAC ID | 9638206063 |
|---|---|
| Medicare Enrollment ID | O20100416000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316261167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenneth L Hennefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538207154 PECOS PAC ID: 4082741418 Enrollment ID: I20100416000248 |
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