Healthcare Provider Details

I. General information

NPI: 1013355692
Provider Name (Legal Business Name): DR. KENNETH VEHEC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 ROSE GARDEN LN
ORLANDO FL
32825-8285
US

IV. Provider business mailing address

1631 ROSE GARDEN LN
ORLANDO FL
32825-8285
US

V. Phone/Fax

Practice location:
  • Phone: 407-760-6269
  • Fax: 407-381-9655
Mailing address:
  • Phone: 407-760-6269
  • Fax: 407-381-9655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 10262
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberMH 10262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: