Edmonds, Mark Anthony

Edmonds, Mark Anthony is an individual health care provider with primary practice located at 2400 Russellville Rd Genesis East, Hopkinsville KY 42240-8095. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Edmonds, Mark Anthony can be contacted via phone (270) 887-5697.

Contact Information

Primary practice address
2400 Russellville Rd Genesis East Hopkinsville KY 42240-8095
Phone: (270) 887-5697
Fax: (270) 887-5849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1912369406
LBN Legal business name Edmonds, Mark Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Sep 20th, 2019 - about 7 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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