Kelly, Kenderlin Jovan

Kelly, Kenderlin Jovan is an sole proprietor health care provider with primary practice located at 418 Person St Ste 103 , Fayetteville NC 28301-5886. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Kelly, Kenderlin Jovan can be contacted via phone (910) 483-0958.

Contact Information

Primary practice address
418 Person St Ste 103 Fayetteville NC 28301-5886
Phone: (910) 483-0958
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X North Carolina

Profile Details

NPI number 1609570548
LBN Legal business name Kelly, Kenderlin Jovan
Credentials LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2023
Last updated Mar 27th, 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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