Carmon, Ricky Daniel

Carmon, Ricky Daniel is an individual health care provider with primary practice located at 3651 Highway 2565 Fl 2 , Louisa KY 41230-5018. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Carmon, Ricky Daniel can be contacted via phone (606) 638-0938.

Contact Information

Primary practice address
3651 Highway 2565 Fl 2 Louisa KY 41230-5018
Phone: (606) 638-0938
Fax: (859) 813-5394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1063761948
LBN Legal business name Carmon, Ricky Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2012
Last updated Mar 11th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063761948 NPPES
Kentucky MEDICAID 30610026

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