Camp, Kendell
Camp, Kendell is an individual health care provider with primary practice located at 800 S Church St Ste 103 , Jonesboro AR 72401-4154. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Camp, Kendell can be contacted via phone (901) 205-9882.Contact Information
Primary practice address
800 S Church St Ste 103
Jonesboro AR 72401-4154
Phone: (901) 205-9882
Fax: (870) 933-6245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1861431082 |
|---|---|
| LBN Legal business name | Camp, Kendell |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jan 15th, 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 | 1861431082 | NPPES |
| Arkansas | Other | 5T760 | BLUECROSS PROVIDER NUMBER |
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