Edmond, John Kennedy

Edmond, John Kennedy is an individual health care provider with primary practice located at 1036 Branchview Dr Suite 201, Concord NC 28025-2998. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Edmond, John Kennedy can be contacted via phone (704) 793-9593.

Contact Information

Primary practice address
1036 Branchview Dr Suite 201 Concord NC 28025-2998
Phone: (704) 793-9593
Fax: (704) 795-0825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1821146986
LBN Legal business name Edmond, John Kennedy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
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 1821146986 NPPES
North Carolina MEDICAID 6603176
North Carolina MEDICAID 6603333
North Carolina MEDICAID 6603560

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