Kempson, Gary Lavelle

Kempson, Gary Lavelle is an individual health care provider with primary practice located at 673Mdg 5955 Zeamer Avenue, Jber AK 99506. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kempson, Gary Lavelle can be contacted via phone (907) 580-3205.

Contact Information

Primary practice address
673Mdg 5955 Zeamer Avenue Jber AK 99506
Phone: (907) 580-3205
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.700501 Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.700501 Ohio

Profile Details

NPI number 1437553419
LBN Legal business name Kempson, Gary Lavelle
Credentials MSW., LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2014
Last updated Aug 23rd, 2018 - about 8 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 1437553419 NPPES
Ohio MEDICAID 2871101

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