Hernandez, Darien Camreon Malik

Hernandez, Darien Camreon Malik is an individual health care provider with primary practice located at 1351 Newtown Pike Bldg 1 , Lexington KY 40511-1277. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Hernandez, Darien Camreon Malik can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
1351 Newtown Pike Bldg 1 Lexington KY 40511-1277
Phone: (859) 253-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Kentucky

Profile Details

NPI number 1194369918
LBN Legal business name Hernandez, Darien Camreon Malik
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194369918 NPPES
Kentucky MEDICAID 1790731081

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