| Kenneth J. Karger, Ph.d., LLC | |
|
633 Kieffer St Wooster OH 44691-2415 | |
| (330) 345-5465 | |
| (330) 345-5156 |
| Full Name | Kenneth J. Karger, Ph.d., LLC |
|---|---|
| Speciality | Psychologist |
| Location | 633 Kieffer St, Wooster, Ohio |
| Authorized Official Name and Position | Kenneth Jay Karger (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 3303455465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J. Karger, Ph.d., LLC 633 Kieffer St Wooster OH 44691-2415 Ph: (330) 345-5465 | Kenneth J. Karger, Ph.d., LLC 633 Kieffer St Wooster OH 44691-2415 Ph: (330) 345-5465 |
| NPI Number | 1629281514 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739123431 |
|---|---|
| Medicare Enrollment ID | O20050614000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629281514 | NPI | - | NPPES |
| 0312487 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 2147 (Ohio) | Primary |
| Provider Name | Kenneth J Karger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407860992 PECOS PAC ID: 9537103239 Enrollment ID: I20051206000071 |
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