Kennerly, Richard C.
Kennerly, Richard C. is an sole proprietor health care provider with primary practice located at 170 Davidson Hwy Ste 201 , Concord NC 28027-4255. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kennerly, Richard C. can be contacted via phone (704) 659-3541.Contact Information
Primary practice address
170 Davidson Hwy Ste 201
Concord NC 28027-4255
Phone: (704) 659-3541
Fax: (888) 977-3202
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY 22288 | California |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4561 | North Carolina |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 22288 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4561 | North Carolina |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY22288 | California |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 4561 | North Carolina |
Profile Details
NPI number | 1992959761 |
---|---|
LBN Legal business name | Kennerly, Richard C. |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 6th, 2008 |
Last updated | Dec 16th, 2019 - about 5 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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