Kenneth Tyrone Livingston HS

NPI 1710205083 - Counselor - 101Y00000X

NPI Details
NPI 1710205083
Gender Male
Enumeration Date 05/12/2010
Last Updated 05/12/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
450 E ATLANTIC BLVD
POMPANO BEACH FL, 33060-6256, US
Phone (954) 580-0770
Fax (954) 580-0777
Business Location
11031 NE 6TH AVE
MIAMI FL, 33161-7182, US
Phone (305) 398-6100
Fax (305) 757-4465
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Kenneth Tyrone Livingston HS NPI is 1710205083, taxonomy code is 101Y00000X Kenneth Tyrone Livingston HS physically located at 450 E Atlantic Blvd, Pompano Beach FL, 33060-6256. NPI Number Kenneth Tyrone Livingston HS has the Individual type.

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1710205083 NPI number is provided on an as is basis without warranty of any kind. 1710205083 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Tyrone Livingston HS are for informational purposes only.