Barkham, Kandace Marie
Barkham, Kandace Marie is an sole proprietor health care provider with primary practice located at 7549 Manslick Rd , Louisville KY 40214-4182. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Barkham, Kandace Marie can be contacted via phone (502) 408-5567.Contact Information
Primary practice address
7549 Manslick Rd
Louisville KY 40214-4182
Phone: (502) 408-5567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 87001717A | Indiana |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 272878 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 257332 | Kentucky |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 272878 | Kentucky |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 272878 | Kentucky |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 272878 | Kentucky |
Profile Details
| NPI number | 1063135473 |
|---|---|
| LBN Legal business name | Barkham, Kandace Marie |
| Credentials | LCSW, LCAC, LCADCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2022 |
| Last updated | Apr 15th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063135473 | NPPES |
| Kentucky | MEDICAID | 7100914830 |
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