Individual
KENNETH J VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
6541 SPECKER AVE BLDG 1830, FORT CARSON, CO 80913-4263
(791) 526-7155
Mailing address
6541 SPECKER AVE BLDG 1830, FORT CARSON, CO 80913-4263
(719) 526-7155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20041162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200165440
—
IN
01
—
P00196681
RR
IN
01
—
P00453703
RR MEDICARE
IL
Enumeration date
01/04/2006
Last updated
11/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us