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Contact Information

KEVIN D COLLINS, CDP
1026 E 1ST ST
PORT ANGELES, WA98362-4020
 Phone: 360-452-4432
 Fax: 360-452-4599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for KEVIN D COLLINS · (Male)

NPI # 1013098219
Status Active
Credentials CDP
Entity Individual
Enumeration date 10/17/2006
Last updated 09/15/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # CP00001181
  • WA License # RC00017145
  • WA Medicaid 1981018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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