Quackenbush, Kamryn Margaret
Quackenbush, Kamryn Margaret is an individual health care provider with primary practice located at 401 S Mount Juliet Rd , Mount Juliet TN 37122-6359. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Quackenbush, Kamryn Margaret can be contacted via phone (615) 393-1709.Contact Information
Primary practice address
401 S Mount Juliet Rd
Mount Juliet TN 37122-6359
Phone: (615) 393-1709
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1269 | Tennessee |
Profile Details
| NPI number | 1093313371 |
|---|---|
| LBN Legal business name | Quackenbush, Kamryn Margaret |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2020 |
| Last updated | Sep 5th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093313371 | NPPES |
| Tennessee | MEDICAID | 103K00000X |
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