Marcum, Kendra Rae

Marcum, Kendra Rae is an individual health care provider with primary practice located at 110 Roach St , Georgetown KY 40324-9393. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Marcum, Kendra Rae can be contacted via phone (502) 863-4734.

Contact Information

Primary practice address
110 Roach St Georgetown KY 40324-9393
Phone: (502) 863-4734
Fax: (502) 863-4735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Kentucky

Profile Details

NPI number 1558052100
LBN Legal business name Marcum, Kendra Rae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2023
Last updated May 16th, 2023 - about last year

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 1558052100 NPPES
Kentucky MEDICAID 1790731081

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