KENNETH WAYNE FAVORS (NPI# 1356884605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356884605 |
| Entity Type | Individual |
| Full Name | KENNETH WAYNE FAVORS |
| Credential | LCDADC |
| Practice Address |
8 Brompton Court Elkton MD 21921 |
| Practice Telephone | 4103987104 |
| Mailing Telephone | 2403530279 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA1943 | MD | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LCA1943 | MD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LCA1943 | MD | Behavioral Health & Social Service Providers |
| Street Address |
8 BROMPTON COURT |
| City | ELKTON |
| State | MD |
| Zip Code | 21921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| 1619241072 | Melissa Ann Hackett | Nurse Practitioner | 111 High Str, Suite 104, Elkton, MD 21921 | 2012-03-02 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847450 | Leanne Adelle Lambert | Counselor | 503 Shenandoah Ave, Elkton, VA 22827-3063 | 2020-07-02 |
| 1700284049 | Shirley Alexander | Counselor | 203 W Pulaski Hwy, Elkton, MD 21921-5910 | 2014-12-19 |
| 1275955593 | Jerome D Garrett Sr. | Counselor | 402 Patriots Way, Elkton, MD 21921-5101 | 2014-01-07 |
| 1124462676 | Arlene Hackbarth | Counselor | 203 Buttonwoods Rd Lowr Level, Elkton, MD 21921-6571 | 2013-04-26 |
| 1881939163 | Carrie L. Kemether | Counselor | 19 Wood Duck Ln, Elkton, MD 21921-8021 | 2012-11-28 |
| 1518111681 | Sarah Renee Langley | Counselor | 203 Buttonwoods Rd, Lower Level, Elkton, MD 21921-6571 | 2008-11-15 |
| 1457961005 | John Howard Anderson | Counselor | 111 E Main St, Elkton, MD 21921-5996 | 2020-08-07 |
| 1033774989 | Brantwood Fs LLC | Counselor | 1190 Augustine Herman Hwy, Elkton, MD 21921-8251 | 2019-05-07 |
| 1932673142 | Vida Koranteng Adansi | Counselor | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2019-01-22 |
| 1679069439 | Ellen Jenkins Foster | Counselor | 1275b W Pulaski Hwy, Elkton, MD 21921-4719 | 2018-07-05 |
| Find all providers in ELKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.