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Individual

DR. KENNETH HAROLD KASNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1129 W IRON SPRINGS RD, PRESCOTT, AZ 86305-1623
(928) 778-2925
Mailing address
PO BOX 10277, PRESCOTT, AZ 86304-0277
(928) 778-2925

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1136
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1154574150
NPI
AZ
Enumeration date
03/28/2008
Last updated
02/15/2015
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