Kenneth Lamar Prust LCSW

  • NPI 1134113178
According to our database, the NPI number for Kenneth Lamar Prust LCSW is 1134113178 and activated since 18 years ago. Kenneth Lamar Prust LCSW is an individual provider who specializes in Mental Health, and the primary practice location is 1200 N Center St, Beaver Dam, WI 53916. You can also contact Kenneth Lamar Prust LCSW via telephone number is (920) 887-3171. Provider NPI information was last updated on 07/09/2007.

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Overview of Kenneth Lamar Prust LCSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/06/2005
  • Last updated: 07/09/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 6795-123
  • License State: WI

Provider Mailing Address

  • Address: N7377 Malibou Ln
    Beaver Dam, WI 53916
  • Phone: 920-887-2517
  • Fax: 920-887-8662

Provider Practice Location

  • Address: 1200 N Center St
    Beaver Dam, WI 53916
  • Phone: 920-887-3171
  • Fax: 920-887-8662

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: 6795-123
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 43579800
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kenneth Lamar Prust LCSW?
  • A: The npi number for Kenneth Lamar Prust LCSW is 1134113178.
  • Q: What are Kenneth Lamar Prust LCSW's specialties?
  • A: Kenneth Lamar Prust LCSW's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Kenneth Lamar Prust LCSW?
  • A: The medical license number for Kenneth Lamar Prust LCSW is 6795-123 and issued in WI in USA.
  • Q: Where is Kenneth Lamar Prust LCSW practice location?
  • A: Kenneth Lamar Prust LCSW is practicing at 1200 N Center St, Beaver Dam, WI 53916.
  • Q: How to contact Kenneth Lamar Prust LCSW?
  • A: You can contact Kenneth Lamar Prust LCSW via 920-887-3171.