MEDICARE: JANET BOGGS KUYKENDALL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 11653	FL

General Provider Information

NPI Number	:	1760643324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET BOGGS KUYKENDALL LMHC

Provider Business Mailing Address
First Line	:	248 N MARION AVE
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32055-2863
Country	:	US
Telephone Number	:	386-365-0885
Fax Number	:

Provider Business Practice Location Address
First Line	:	248 N MARION AVE
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32055-2863
Country	:	US
Telephone Number	:	386-365-0885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	05/22/2013

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