Hairston, Kenberly

Hairston, Kenberly is an individual health care provider with primary practice located at 6635 Florence Ave Ste 101 , Bell Gardens CA 90201-4968. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hairston, Kenberly can be contacted via phone (323) 647-6740.

Contact Information

Primary practice address
6635 Florence Ave Ste 101 Bell Gardens CA 90201-4968
Phone: (323) 647-6740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 95499 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117016 California

Profile Details

NPI number 1932742335
LBN Legal business name Hairston, Kenberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2019
Last updated Oct 18th, 2023 - about last year

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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