Embry, Kelsey Lillard
Embry, Kelsey Lillard is an individual health care provider with primary practice located at 2411 W. Main St. , Jacksonville AR 72076-8868. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Embry, Kelsey Lillard can be contacted via phone (501) 982-5402.Contact Information
Primary practice address
2411 W. Main St.
Jacksonville AR 72076-8868
Phone: (501) 982-5402
Fax: (501) 533-6378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | PLMSW | Arkansas |
Profile Details
| NPI number | 1245758564 |
|---|---|
| LBN Legal business name | Embry, Kelsey Lillard |
| Credentials | PLMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2017 |
| Last updated | Sep 7th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245758564 | NPPES |
| Arkansas | MEDICAID | PLMSW |
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