Hendry, Kara Matile

Hendry, Kara Matile is an individual health care provider with primary practice located at 5348 1St Ave N Suite D, St Petersburg FL 33710-8106. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hendry, Kara Matile can be contacted via phone (727) 322-6123.

Contact Information

Primary practice address
5348 1St Ave N Suite D St Petersburg FL 33710-8106
Phone: (727) 322-6123
Fax: (727) 322-6143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY6690 Florida

Profile Details

NPI number 1306947809
LBN Legal business name Hendry, Kara Matile
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated May 20th, 2009 - about 17 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

StateTypeNumberIssuer
All States NPI 1306947809 NPPES
Florida Other 54889 BLUE CROSS BLUE SHIELD
Florida Other 55011000 BLUE CROSS BLUE SHIELD
Florida Other 687018079 BLUE CROSS BLUE SHIELD
Florida Other FL2056 BLUE CROSS BLUE SHIELD
Florida Other 3402278 BLUE CROSS BLUE SHIELD
Florida Other 2179838 BLUE CROSS BLUE SHIELD
Florida MEDICAID 6870180701 BLUE CROSS BLUE SHIELD

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