EZEKEIL KINCHEN MSW NPI 1780926857

NPI Information

NPI: 1780926857
Provider Name: EZEKEIL KINCHEN, MSW
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3804 W CHARLES BUSSEY AVE
3804 W CHAS BUSSEY AVE
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 663-1359
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Ezekeil Kinchen, MSW is a professional counselor in Little Rock, AR. Ezekeil Kinchen, MSW NPI is 1780926857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3804 W CHARLES BUSSEY AVE
3804 W CHAS BUSSEY AVE
LITTLE ROCK, AR
ZIP 72204-902
Phone: (501) 663-1359

The enumeration date for this NPI number is 3/26/2013 and was last updated on 3/26/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	409C	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	104100000X	MEDICAID	ARKANSAS
2	101YM0800X	MEDICARE OSCAR/CERTIFICATION	ARKANSAS

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

NPI Synchronization or Removal

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