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:

Map and Directions

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 8th, 2007 - about 19 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1558333104	NPPES
North Carolina	MEDICAID	6002900

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