MR. KENNETH EDWARD HEFTY (NPI# 1881719888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881719888 |
| Entity Type | Individual |
| Full Name | MR. KENNETH EDWARD HEFTY |
| Practice Address |
138 North Court Rd Wampsville NY 13163 |
| Mailing Address |
217 Crescent Ave Syracuse NY 13207-1809 |
| Practice Telephone | 3153662327 |
| Mailing Telephone | 3158574194 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00569860 | 05 |
| Street Address |
138 NORTH COURT RD |
| City | WAMPSVILLE |
| State | NY |
| Zip Code | 13163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164824462 | Beth Perry | Social Worker | 138 N Court Street, Wampsville, NY 13163 | 2014-09-18 |
| 1659529949 | Timothy Gerard Brown | Social Worker | 138 N. Court St, Wampsville, NY 13163 | 2008-08-29 |
| 1477752376 | Muftah A. Kadura, Md | Internal Medicine | 235 Genesee St, Wampsville, NY 13163 | 2007-07-12 |
| 1518990811 | Denise Michelle Calcagnino | Counselor | Veterans Memorial Building, North Court Street, Wampsville, NY 13163 | 2006-07-09 |
| 1871157065 | Mallory Kleps | Counselor | 138 N Court St, Wampsville, NY 13163 | 2019-04-24 |
| 1861968968 | Mark James Miller | Social Worker | 138 North Court St, Wampsville, NY 13163 | 2018-10-17 |
| 1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
| 1083143358 | Megan Mcpeak | Social Worker | 138 N. Court St., Wampsville, NY 13163 | 2017-06-08 |
| 1568999175 | Madison County Health Deptartment | Case Manager/Care Coordinator | 138 North Court St, Wampsville, NY 13163 | 2017-05-12 |
| 1194276451 | Susan Sweetland | Student in an Organized Health Care Education/Training Program | 138 N Court St, Wampsville, NY 13163 | 2016-10-20 |
| Find all providers in zip 13163 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235243957 | Edwina E Davies | Counselor | 138 North Cout Street, Wampsville, NY 13163-0608 | 2006-08-18 |
| 1780694935 | James A. Yonai | Counselor | 138 N. Court St., Wampsville, NY 13163-0608 | 2006-08-09 |
| 1346265485 | Colleen A Miller | Counselor | 138 N Court St., Veterans Memorial Building, Wampsville, NY 13163-0608 | 2006-07-12 |
| 1346871498 | Brienne Barnett O'neill | Counselor | 138 N Court St, Wampsville, NY 13163-7714 | 2020-01-28 |
| 1821638115 | Samantha Walker | Counselor | 138 N Court St, Wampsville, NY 13163-7714 | 2020-01-14 |
| 1750844965 | Karleen Theresa Locher | Counselor | 138 N Court St, Wampsville, NY 13163-7714 | 2019-04-14 |
| 1992261952 | Carmen Adolfina Feliz | Counselor | 138 N Court St, Wampsville, NY 13163-0608 | 2019-02-14 |
| 1881194611 | Christina Labella | Counselor | 138 N. Court Street, Wampsville, NY 13163 | 2018-02-19 |
| 1619229523 | Sharon Gordon | Counselor | 138 North Court St., Wampsville, NY 13163-0608 | 2012-10-03 |
| 1770842676 | Theresa Lorraine Gibbs | Counselor | 138 North Court St, Veteran's Memorial Building, 2nd Floor, Wampsville, NY 13163 | 2012-05-11 |
| Find all providers in WAMPSVILLE | ||||
| City | WAMPSVILLE |
| Zip Code | 13163 |
Please comment or provide details below to improve the information on MR. KENNETH EDWARD HEFTY.
| 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.