Carr, Kenneth John
Carr, Kenneth John is an sole proprietor health care provider with primary practice located at 641 N Fowler Ave Apt #255, Clovis CA 93611-6610. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carr, Kenneth John can be contacted via phone (209) 201-2299.Contact Information
Primary practice address
641 N Fowler Ave Apt #255
Clovis CA 93611-6610
Phone: (209) 201-2299
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0000000000 | California |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 00000000000 | California |
Profile Details
NPI number | 1275971665 |
---|---|
LBN Legal business name | Carr, Kenneth John |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2013 |
Last updated | Jun 7th, 2013 - about 11 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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