Kennon, Robert W

Kennon, Robert W is an sole proprietor health care provider with primary practice located at 106 Tucker St , Jackson TN 38301-4035. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Forensic is his primary health care specialty. Kennon, Robert W can be contacted via phone (731) 427-1740.

Contact Information

Primary practice address
106 Tucker St Jackson TN 38301-4035
Phone: (731) 427-1740
Fax: (731) 427-1436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X P0000001493 Tennessee
Behavioral Health & Social Service Providers / Counseling 103TC1900X P0000001493 Tennessee

Profile Details

NPI number 1700923703
LBN Legal business name Kennon, Robert W
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Dec 9th, 2010 - about 15 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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