Barksdale, Kenya Marie

Barksdale, Kenya Marie is an individual health care provider with primary practice located at 32100 Telegraph Rd Ste 205 , Bingham Farms MI 48025-2454. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Barksdale, Kenya Marie can be contacted via phone (248) 712-4266.

Contact Information

Primary practice address
32100 Telegraph Rd Ste 205 Bingham Farms MI 48025-2454
Phone: (248) 712-4266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1003359167
LBN Legal business name Barksdale, Kenya Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2016
Last updated Dec 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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