Kenneth David Kussin
School Psychologist
48 Conifer Ln
Murphysboro
, Illinois 62966-5242
Kenneth David Kussin
School Psychologist
48 Conifer Ln
Murphysboro
, Illinois 62966-5242
(618) 559-3342
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Kenneth David Kussin
- 48 Conifer Ln
- Murphysboro, IL
- Zip : 62966
- Phone : (618) 559-3342
Second Address
- Kenneth David Kussin
- 48 Conifer Ln
- Murphysboro, IL
- Zip : 62966-5242
- Fax : (618) 559-3342
- Phone : (618) 559-3342
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist |
National Provider Identifier
| NPI | 1003320243 |
|---|---|
| Provider Name | Kenneth David Kussin |
| First Address | Murphysboro, IL 62966 |
| Second Address | Murphysboro, IL 62966-5242 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2017 |
| Last Update Date | 27/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.