Kennington, Bailey Renate

Kennington, Bailey Renate is an individual health care provider with primary practice located at 84 County Road 610 , Enterprise AL 36330-5230. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kennington, Bailey Renate can be contacted via phone (334) 389-1014.

Contact Information

Primary practice address
84 County Road 610 Enterprise AL 36330-5230
Phone: (334) 389-1014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1992376453
LBN Legal business name Kennington, Bailey Renate
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2021
Last updated Jul 6th, 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 1992376453 NPPES
Alabama MEDICAID 243779

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