Provider Demographics
NPI:1861773822
Name:K&C EDUCATIONAL ASSOCIATES
Entity type:Organization
Organization Name:K&C EDUCATIONAL ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DYSLEXIA AND ADHD SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KERNEY
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:740-773-2343
Mailing Address - Street 1:205 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2408
Mailing Address - Country:US
Mailing Address - Phone:740-773-2343
Mailing Address - Fax:740-775-4757
Practice Address - Street 1:903 HOPETOWN RD
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-8863
Practice Address - Country:US
Practice Address - Phone:740-773-2343
Practice Address - Fax:740-774-4757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.7198235Z00000X
OHCERTIFIED103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty