Basore, Kendall

Basore, Kendall is an sole proprietor health care provider with primary practice located at 445 S. Landmark Ave. , Bloomington IN 47403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Basore, Kendall can be contacted via phone (812) 353-3450.

Contact Information

Primary practice address
445 S. Landmark Ave. Bloomington IN 47403
Phone: (812) 353-3450
Fax: (812) 353-3451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006602A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801100387 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801100387 Michigan

Profile Details

NPI number 1104170232
LBN Legal business name Basore, Kendall
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2012
Last updated Dec 16th, 2020 - 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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