Kenneth Lee Cox, MPS, ATR

Individual provider Active NPI Professional Counselor · Indianapolis, IN

NPI 1902255011 · NPPES record last updated Jun 9, 2016

Key facts

NPI
1902255011
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
4133 Ruckle St
Indianapolis, IN 46205-2720
Phone
(317) 965-8599
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Yes

Addresses

Primary practice location

4133 Ruckle St
Indianapolis, IN 46205-2720

Mailing address

4133 N Ruckle St
Indianapolis, IN 46205
Phone (317) 965-8599

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Professional Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.