Provider Type Icon

KENNETH CARSWELL LLC NPI 1578929626


NPI Information

NPI: 1578929626
Provider Name: KENNETH CARSWELL, LLC
Classification: Military Health Care Provider - 171000000X
Entity Type: Organization
Address:
6120 WHITEAKER RD
PINE BLUFF, AR
ZIP 71603
Phone: (870) 718-6007
Get Directions

KENNETH CARSWELL, LLC is a military health care provider in Pine Bluff, AR. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. KENNETH CARSWELL, LLC NPI is 1578929626. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6120 WHITEAKER RD
PINE BLUFF, AR
ZIP 71603-076
Phone: (870) 718-6007

The provider's authorized official is Kenneth Carswell .
The authorized official title is Ceo and has the following contact phone number (870) 718-6007.

The enumeration date for this NPI number is 1/5/2016 and was last updated on 1/5/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP1600XCounselorPastoralNo
5101YP2500XCounselorProfessionalNo
6171000000XMilitary Health Care ProviderIMH 13452FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.