Dr Kenneth Anthony Edwards, PHD is a
Psychologist - Forensic based in Mound House, Nevada. Dr Kenneth Anthony Edwards is licensed to practice in Wisconsin (license number 1167) and his current practice location is
10116 Highway 50 East, Suite 101, Mound House, Nevada. He can be reached at his office (for appointments etc.) via phone at
(775) 841-3116.
NPI number for Dr Kenneth Anthony Edwards is 1003939356 and his current mailing address is Po Box 115, Dayton, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003939356.
Healthcare Provider's Profile
| Full Name | Dr Kenneth Anthony Edwards |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Forensic |
|---|
| Location | 10116 Highway 50 East, Mound House, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003939356
- Provider Enumeration Date: 04/09/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kenneth Anthony Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003939356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PY0409 (Nevada) | Primary |
| 103T00000X | Psychologist | 1167 (Wisconsin) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | PY0409 (Nevada) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | 1167 (Wisconsin) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY0409 (Nevada) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1167 (Wisconsin) | Primary |
| 103TF0200X | Psychologist - Forensic | PY0409 (Nevada) | Primary |
| 103TF0200X | Psychologist - Forensic | 1167 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Anthony Edwards is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kenneth Anthony Edwards, PHD
Po Box 115,
Dayton, NV 89403-0115
Ph: (775) 841-3116 | Dr Kenneth Anthony Edwards, PHD
10116 Highway 50 East, Suite 101,
Mound House, NV 89706
Ph: (775) 841-3116 |
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