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Contact Information

ETHAN KENT, LSCSW, LCSW
513 S 5TH STREET
LEAVENWORTH, KS66048
 Phone: 913-680-1226
 Fax: 913-680-1401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for ETHAN KENT · (Male)

NPI # 1497186753
Status Active
Credentials LSCSW, LCSW
Entity Individual
Enumeration date 12/11/2013
Last updated 04/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO Medicaid 1497186753
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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