Kennedy, Tammy C
Kennedy, Tammy C is an sole proprietor health care provider with primary practice located at 5311 S Stone Bay Ct , Rogers AR 72758-4149. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kennedy, Tammy C can be contacted via phone (479) 257-5101.Contact Information
Primary practice address
5311 S Stone Bay Ct
Rogers AR 72758-4149
Phone: (479) 257-5101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P0006017 | Arkansas |
Profile Details
| NPI number | 1932138278 |
|---|---|
| LBN Legal business name | Kennedy, Tammy C |
| Credentials | LPC, LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Nov 13th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932138278 | NPPES |
| Arkansas | Other | 5Y674 | AR BLUE SHIELD PROVIDER # |
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