Kinken, Mary Perkins
Kinken, Mary Perkins is an sole proprietor health care provider with primary practice located at 452 S Main St Ste C , Davidson NC 28036-7058. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kinken, Mary Perkins can be contacted via phone (704) 560-0525.Contact Information
Primary practice address
452 S Main St Ste C
Davidson NC 28036-7058
Phone: (704) 560-0525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0073 | North Carolina |
Profile Details
| NPI number | 1780610436 |
|---|---|
| LBN Legal business name | Kinken, Mary Perkins |
| Credentials | M.DIV., D.MIN. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Feb 9th, 2021 - about 3 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 | 1780610436 | NPPES |
| North Carolina | Other | 1780610436 | NPI |
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