Individual
DAVID KEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4411 WASHINGTON AVE, EVANSVILLE, IN 47714-0805
(812) 479-1916
(812) 479-5014
Mailing address
4411 WASHINGTON AVE, EVANSVILLE, IN 47714-0805
(812) 479-1916
(812) 479-5014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003223A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200238820
—
IN
Enumeration date
05/08/2017
Last updated
05/08/2017
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