Barnett, Kevin Lavelle
Barnett, Kevin Lavelle is an individual health care provider with primary practice located at 1628 E Page Ave , Malvern AR 72104. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Barnett, Kevin Lavelle can be contacted via phone (501) 315-3344.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 8667-M | Arkansas |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 8667-C | Arkansas |
Profile Details
NPI number | 1336408533 |
---|---|
LBN Legal business name | Barnett, Kevin Lavelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2012 |
Last updated | Nov 23rd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336408533 | NPPES |
Arkansas | MEDICAID | 116378726 |
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