Individual
KEM EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 COVINGTON PIKE, SUITE 241, MEMPHIS, TN 38128-5048
(901) 409-1785
Mailing address
3030 COVINGTON PIKE, SUITE 241, MEMPHIS, TN 38128-5048
(901) 409-1785
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
222Q00000X
Developmental Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/05/2015
Last updated
08/28/2015
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