Provider Demographics
NPI:1306049846
Name:KEN ZEIGLER, LLC
Entity type:Organization
Organization Name:KEN ZEIGLER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LUIGINA
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-321-6035
Mailing Address - Street 1:8600 LASALLE RD
Mailing Address - Street 2:THE CHESTER BUILDING SUITE 325
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2001
Mailing Address - Country:US
Mailing Address - Phone:410-321-6035
Mailing Address - Fax:410-321-6176
Practice Address - Street 1:8600 LASALLE RD
Practice Address - Street 2:THE CHESTER BUILDING SUITE 325
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2001
Practice Address - Country:US
Practice Address - Phone:410-321-6035
Practice Address - Fax:410-321-6176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty