Provider Demographics
NPI:1780567875
Name:HEIN, KENA LYNNE
Entity type:Individual
Prefix:
First Name:KENA
Middle Name:LYNNE
Last Name:HEIN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 CONCORD PLZ APT 3
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1820
Mailing Address - Country:US
Mailing Address - Phone:515-988-9298
Mailing Address - Fax:
Practice Address - Street 1:1280 OFFICE PLAZA DR
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-2300
Practice Address - Country:US
Practice Address - Phone:515-446-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician