Malcolm, Kendra K

Malcolm, Kendra K is an individual health care provider with primary practice located at 19251 Mack Ave Ste M450 , Grosse Pointe Woods MI 48236-2893. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty.

Contact Information

Primary practice address
19251 Mack Ave Ste M450 Grosse Pointe Woods MI 48236-2893
Phone:
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1023534005
LBN Legal business name Malcolm, Kendra K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Jul 21st, 2022 - about 4 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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