Kenneth Lee Carrico, Jr. in Hickory - Clinical
Kenneth Lee Carrico, Jr. - NPI 1770697336
Kenneth Lee Carrico, Jr. is a Clinical in Hickory, North Carolina. Kenneth Lee Carrico, Jr. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Lee Carrico, Jr. is 1770697336. The last update date is 2007-07-09.
Kenneth Lee Carrico, Jr.'s current location address is 3050 11th Avenue Dr Se, Hickory, North Carolina. You can contact this provider via phone number 8286955900 and fax number 8286954256. The mailing address for Kenneth Lee Carrico, Jr. is 3050 11th Avenue Dr Se, Hickory, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lee Carrico, Jr. |
|---|---|
| Address | 3050 11th Avenue Dr Se, Hickory, North Carolina |
| Phone Number | 8286955900 |
| Fax Number | 8286954256 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1770697336 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3050 11th Avenue Dr Se |
|---|---|
| City | Hickory |
| State | North Carolina (NC) |
| Post Code | 286028336 |
| Phone Number | 8286955900 |
| Fax Number | 8286954256 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P00956 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6000931 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kenneth Lee Carrico, Jr. by the Centers for Medicare & Medicaid Services?
The Kenneth Lee Carrico, Jr. has been issued the NPI (National Provider Identifier) 1770697336 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kenneth Lee Carrico, Jr. located?
The Kenneth Lee Carrico, Jr. is located at 3050 11Th Avenue Dr Se, Hickory, NC 286028336.
What is Kenneth Lee Carrico, Jr.'s area of expertise and its corresponding taxonomy classification?
The Kenneth Lee Carrico, Jr.'s field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When did the Kenneth Lee Carrico, Jr. receive its 1770697336?
The Kenneth Lee Carrico, Jr. was issued its 1770697336 on 2006-08-19, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Kenneth Lee Carrico, Jr. most recently updated or revised?
The details related to Kenneth Lee Carrico, Jr., including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.