Carr, Kenneth John

Carr, Kenneth John is an sole proprietor health care provider with primary practice located at 641 N Fowler Ave Apt #255, Clovis CA 93611-6610. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carr, Kenneth John can be contacted via phone (209) 201-2299.

Contact Information

Primary practice address
641 N Fowler Ave Apt #255 Clovis CA 93611-6610
Phone: (209) 201-2299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0000000000 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X 00000000000 California

Profile Details

NPI number 1275971665
LBN Legal business name Carr, Kenneth John
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2013
Last updated Jun 7th, 2013 - about 12 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.

Request for update

Popular Providers