Individual ProviderKenneth SpignerCounselorBehavioral Health & Social Service ProvidersPractice Address1240 W Owens Ave, Ste. 3, Las Vegas, NV 89106-2452(702) 877-9850PECOS EnrollmentBased on the most recent information from CMS, provider Kenneth Spigner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1457761835Provider TypeIndividualFull NameSpigner, KennethGenderMaleSole ProprietorYesEnumeration Date5/6/2014Last Updated5/6/2014Contact InformationPractice LocationPractice Address1240 W Owens Ave, Ste. 3, Las Vegas, NV 89106-2452Phone(702) 877-9850Fax(702) 877-9870Mailing LocationMailing Address1240 W Owens Ave, Ste. 3, Las Vegas, NV 89106-2452Phone(702) 877-9850Fax(702) 877-9870Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer