Carruth, Kennedi Nykole
Carruth, Kennedi Nykole is an individual health care provider with primary practice located at 1509 N Pierce St , Little Rock AR 72207-5203. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Carruth, Kennedi Nykole can be contacted via phone (501) 313-5973.Contact Information
Primary practice address
1509 N Pierce St
Little Rock AR 72207-5203
Phone: (501) 313-5973
Fax: (501) 747-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Arkansas |
Profile Details
| NPI number | 1821759887 |
|---|---|
| LBN Legal business name | Carruth, Kennedi Nykole |
| Credentials | B.S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2022 |
| Last updated | Jan 3rd, 2022 - 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.
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