Clark, Kay Freeman
Clark, Kay Freeman is an individual health care provider with primary practice located at 122 N Spruce St , Winston Salem NC 27101-2734. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Clark, Kay Freeman can be contacted via phone (336) 774-3988.Contact Information
Primary practice address
122 N Spruce St
Winston Salem NC 27101-2734
Phone: (336) 774-3988
Fax: (336) 774-3989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001690 | North Carolina |
Profile Details
| NPI number | 1558333104 |
|---|---|
| LBN Legal business name | Clark, Kay Freeman |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jul 13th, 2026 - about 4 months 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 | 1558333104 | NPPES |
| North Carolina | MEDICAID | 6002900 |
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