EZEKEIL KINCHEN (NPI# 1780926857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780926857 |
Entity Type | Individual |
Full Name | EZEKEIL KINCHEN |
Credential | MSW |
Practice Address |
3804 W Charles Bussey Ave 3804 W Chas Bussey Ave Little Rock AR 72204-3902 |
Mailing Address |
3804 W Charles Bussey Ave P.o. Box 2524 Little Rock AR 72204-3902 |
Practice Telephone | 5016631359 |
Mailing Telephone | 5016631359 |
Enumeration Date | 2013-03-26 |
Last Update Date | 2013-03-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
409C | AR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 104100000X | 05 |
Street Address |
3804 W CHARLES BUSSEY AVE 3804 W CHAS BUSSEY AVE |
City | LITTLE ROCK |
State | AR |
Zip Code | 72204-3902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
Find all providers in zip 72204 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
1255886560 | Amelia H Lewis | Counselor | 12115 Hinson Rd Ste 400, Little Rock, AR 72212-3476 | 2016-08-17 |
1003234675 | Jill Gorman Lpc LLC | Counselor | 1501 N University Ave Ste 700, Little Rock, AR 72207-5297 | 2014-04-01 |
1285979609 | Charles Richard Chamblee Jr. | Counselor | 11401 I-30, Little Rock, AR 72209-7042 | 2012-12-11 |
1992062996 | Whitney Norris | Counselor | 10800 Financial Ctr, #290, Little Rock, AR 72211 | 2012-04-13 |
1295091676 | Crane Counseling Services | Counselor | 1400 W Markham St, Ste. 308b-c, Little Rock, AR 72201-1840 | 2012-04-10 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72204 |
Please comment or provide details below to improve the information on EZEKEIL KINCHEN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.