Kennedy, Shawn M

Kennedy, Shawn M is an individual health care provider with primary practice located at 602 E 5Th St , Mount Carmel IL 62863-2152. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kennedy, Shawn M can be contacted via phone (618) 262-7473.

Contact Information

Primary practice address
602 E 5Th St Mount Carmel IL 62863-2152
Phone: (618) 262-7473
Fax: (618) 262-8810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1962782870
LBN Legal business name Kennedy, Shawn M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2011
Last updated Aug 23rd, 2011 - about 15 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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