Crockett, Kavonne

Crockett, Kavonne is an sole proprietor health care provider with primary practice located at 3233 Fletcher Ave Apt 395 , Lincoln NE 68504-4668. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Crockett, Kavonne can be contacted via phone (402) 217-3844.

Contact Information

Primary practice address
3233 Fletcher Ave Apt 395 Lincoln NE 68504-4668
Phone: (402) 217-3844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1710638895
LBN Legal business name Crockett, Kavonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2022
Last updated Jan 11th, 2022 - about 2 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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