Avery, Reniva Jo S.

Avery, Reniva Jo S. is an sole proprietor health care provider with primary practice located at 3770 Defries Rd , Canmer KY 42722. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Avery, Reniva Jo S. can be contacted via phone (270) 528-4416.

Contact Information

Primary practice address
3770 Defries Rd Canmer KY 42722
Phone: (270) 528-4416
Fax: (270) 528-4417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X F254TZ Kentucky

Profile Details

NPI number 1114005840
LBN Legal business name Avery, Reniva Jo S.
Credentials M.A. EL.ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Mar 28th, 2014 - about 10 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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