Carr, Kevin Christopher

Carr, Kevin Christopher is an sole proprietor health care provider with primary practice located at 1399 Kubli Rd , Grants Pass OR 97527-8632. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Carr, Kevin Christopher can be contacted via phone (541) 301-5306.

Contact Information

Primary practice address
1399 Kubli Rd Grants Pass OR 97527-8632
Fax: (541) 846-6733
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C0899 Oregon

Profile Details

NPI number 1326361213
LBN Legal business name Carr, Kevin Christopher
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2010
Last updated Oct 20th, 2021 - about 3 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 1326361213 NPPES
Oregon MEDICAID 500670565

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