Kennedy, Raymond Vernon

Kennedy, Raymond Vernon is an sole proprietor health care provider with primary practice located at 721 S College St , Brandon MS 39042-3605. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Kennedy, Raymond Vernon can be contacted via phone (601) 906-6742.

Contact Information

Primary practice address
721 S College St Brandon MS 39042-3605
Phone: (601) 906-6742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P-0585 Mississippi

Profile Details

NPI number 1609467414
LBN Legal business name Kennedy, Raymond Vernon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 5 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 1609467414 NPPES
Mississippi Other P-0585 STATE LICENSE NUMBER LPC

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