Kennedy, Carmen

Kennedy, Carmen is an individual health care provider with primary practice located at 4710 E 30Th St , Indianapolis IN 46218-3109. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kennedy, Carmen can be contacted via phone (317) 602-3106.

Contact Information

Primary practice address
4710 E 30Th St Indianapolis IN 46218-3109
Phone: (317) 602-3106
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1154976546
LBN Legal business name Kennedy, Carmen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Mar 7th, 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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