Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1093299497 |
---|---|
Provider Name | Dr. Kenneth E Jarmon SR. |
First Address | Knightdale, NC 27545-1523 |
Second Address | Knightdale, NC 27545-2754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2018 |
Last Update Date | 10/02/2021 |