Blackmon, Kailyn
Blackmon, Kailyn is an sole proprietor health care provider with primary practice located at 1 Jefferson Barracks Rd , Saint Louis MO 63125-4181. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackmon, Kailyn can be contacted via phone (314) 652-4100.Contact Information
Primary practice address
1 Jefferson Barracks Rd
Saint Louis MO 63125-4181
Phone: (314) 652-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 124232 | Iowa |
Profile Details
| NPI number | 1447014774 |
|---|---|
| LBN Legal business name | Blackmon, Kailyn |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2024 |
| Last updated | Feb 7th, 2024 - about 2 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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