Individual
KENNETH VINCENT MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
7901 4TH ST N # 31782, SAINT PETERSBURG, FL 33702-4305
(619) 793-7972
Mailing address
7901 4TH ST N # 31782, SAINT PETERSBURG, FL 33702-4305
(619) 793-7972
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
05/01/2026
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