Kennedy, Autumn Rae

Kennedy, Autumn Rae is an individual health care provider with primary practice located at 90 N 161 W , Ephraim UT 84627-5542. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kennedy, Autumn Rae can be contacted via phone (435) 283-9934.

Contact Information

Primary practice address
90 N 161 W Ephraim UT 84627-5542
Fax: (435) 283-9935
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1871803288
LBN Legal business name Kennedy, Autumn Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2010
Last updated Oct 19th, 2010 - about 14 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.

Request for update

Popular Providers