Kennedy, Melba Joyce

Kennedy, Melba Joyce is an individual health care provider with primary practice located at 4101 S Medford Dr , Lufkin TX 75901-5633. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kennedy, Melba Joyce can be contacted via phone (936) 639-1141.

Contact Information

Primary practice address
4101 S Medford Dr Lufkin TX 75901-5633
Phone: (936) 639-1141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1739-1005 Texas

Profile Details

NPI number 1205994035
LBN Legal business name Kennedy, Melba Joyce
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1205994035 NPPES
Texas Other 8645BH BLUE CROSS BLUE SHIELD

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