Blalock, Kyla Machell

Blalock, Kyla Machell is an individual health care provider with primary practice located at 3500 Westgate Dr Ste 900 , Durham NC 27707-2534. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Blalock, Kyla Machell can be contacted via phone (919) 891-3096.

Contact Information

Primary practice address
3500 Westgate Dr Ste 900 Durham NC 27707-2534
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5393 North Carolina
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 5393 North Carolina

Profile Details

NPI number 1598245292
LBN Legal business name Blalock, Kyla Machell
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Dec 6th, 2023 - about last year

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.

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