Cloe, Kennedy

Cloe, Kennedy is an individual health care provider with primary practice located at 343 Fountains Pkwy Ste 201 , Fairview Heights IL 62208-2170. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Cloe, Kennedy can be contacted via phone (618) 515-1441.

Contact Information

Primary practice address
343 Fountains Pkwy Ste 201 Fairview Heights IL 62208-2170
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-173580 Illinois

Profile Details

NPI number 1366012403
LBN Legal business name Cloe, Kennedy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2021
Last updated Jun 30th, 2021 - about 5 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