Wilson, Kelly Kendra

Wilson, Kelly Kendra is an individual health care provider with primary practice located at 3162 W Martin Luther King Blvd Ste 13-14 , Fayetteville AR 72704-7679. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Kelly Kendra can be contacted via phone (479) 935-4834.

Contact Information

Primary practice address
3162 W Martin Luther King Blvd Ste 13-14 Fayetteville AR 72704-7679
Phone: (479) 935-4834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8293-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8293-C Arkansas

Profile Details

NPI number 1902345416
LBN Legal business name Wilson, Kelly Kendra
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2017
Last updated Jun 8th, 2020 - about 6 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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