Augustine, Christie Kennedy
Augustine, Christie Kennedy is an individual health care provider with primary practice located at 308 Brynn Marr Rd , Jacksonville NC 28546-7023. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Augustine, Christie Kennedy can be contacted via phone (910) 478-9701.Contact Information
Primary practice address
308 Brynn Marr Rd
Jacksonville NC 28546-7023
Phone: (910) 478-9701
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | P19468 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008630L | Pennsylvania |
Profile Details
| NPI number | 1346233863 |
|---|---|
| LBN Legal business name | Augustine, Christie Kennedy |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | May 15th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346233863 | NPPES |
| Other | 819229 | 1ST PRIO-NOLIMITS | |
| Other | AU1693421 | 1ST PRIO-NOLIMITS | |
| Other | PT00863OL | 1ST PRIO-NOLIMITS | |
| Other | 842948 | 1ST PRIO-NOLIMITS | |
| Other | 9373970 | 1ST PRIO-NOLIMITS | |
| Other | 819136 | 1ST PRIO-NOLIMITS |
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