KENNETH PANKEY


Address: 1609 Presson Blvd, Richmond, VA 23224-8000
Phone: 8042199554

KENNETH PANKEY (NPI# 1861985806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861985806
Entity Type Individual
Full Name KENNETH PANKEY
Practice Address 1609 Presson Blvd
Richmond
VA 23224-8000
Practice Telephone 8042199554
Mailing Telephone 8042199554
Enumeration Date 2018-06-13
Last Update Date 2018-06-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 830881113 05

Office Location

Street Address 1609 PRESSON BLVD
City RICHMOND
State VA
Zip Code 23224-8000

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City RICHMOND
Zip Code 23224

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Dataset Information

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.

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