Anderson, Kyle Clark
Anderson, Kyle Clark is an individual health care provider with primary practice located at 500 E Main St Suite 310, Batesville AR 72501-4660. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Anderson, Kyle Clark can be contacted via phone (870) 569-4890.Contact Information
Primary practice address
500 E Main St Suite 310
Batesville AR 72501-4660
Phone: (870) 569-4890
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | A1608108 | Arkansas |
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Arkansas | |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1810134 | Arkansas |
Profile Details
NPI number | 1114063765 |
---|---|
LBN Legal business name | Anderson, Kyle Clark |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 30th, 2007 |
Last updated | Jun 10th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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