Clark, Kayla Renay

Clark, Kayla Renay is an individual health care provider with primary practice located at 925 State Route Vv , Kennett MO 63857-3822. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Kayla Renay can be contacted via phone (573) 359-9840.

Contact Information

Primary practice address
925 State Route Vv Kennett MO 63857-3822
Phone: (573) 359-9840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1225718695
LBN Legal business name Clark, Kayla Renay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2023
Last updated Jul 20th, 2023 - 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.

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