Gross, Kendra Renee

Gross, Kendra Renee is an individual health care provider with primary practice located at 451 Big Hill Ave Ste 5 , Richmond KY 40475. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gross, Kendra Renee can be contacted via phone (859) 482-7862.

Contact Information

Primary practice address
451 Big Hill Ave Ste 5 Richmond KY 40475
Phone: (859) 482-7862
Fax: (859) 999-7869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 168628 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 168628 Kentucky
Behavioral Health & Social Service Providers / Professional 101YP2500X 269446 Kentucky
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 269446 Kentucky

Profile Details

NPI number 1992259402
LBN Legal business name Gross, Kendra Renee
Credentials M.ED, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2016
Last updated Mar 29th, 2021 - about 3 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 1992259402 NPPES
Kentucky MEDICAID 7100728130

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