Bledsoe, Amy K. Kiso

Bledsoe, Amy K. Kiso is an sole proprietor health care provider with primary practice located at 901 N Pine St Suite 307, Rolla MO 65401-3141. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bledsoe, Amy K. Kiso can be contacted via phone (573) 943-2303.

Contact Information

Primary practice address
901 N Pine St Suite 307 Rolla MO 65401-3141
Fax: (573) 943-2304
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2000170900 Missouri

Profile Details

NPI number 1376520221
LBN Legal business name Bledsoe, Amy K. Kiso
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2005
Last updated Jun 29th, 2024 - about 5 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376520221 NPPES
Missouri Other 131813 BLUE CROSS/BLUE SHIELD

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