Carrico, Jr., Kenneth Lee

Carrico, Jr., Kenneth Lee is an individual health care provider with primary practice located at 1001 E Union St Ste B , Morganton NC 28655-2863. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carrico, Jr., Kenneth Lee can be contacted via phone (828) 438-6226.

Contact Information

Primary practice address
1001 E Union St Ste B Morganton NC 28655-2863
Phone: (828) 438-6226
Fax: (828) 438-6225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P00956 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3289 North Carolina

Profile Details

NPI number 1770697336
LBN Legal business name Carrico, Jr., Kenneth Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 9th, 2007 - about 17 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 1770697336 NPPES
North Carolina MEDICAID 6000931

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