Cothren, Kristie

Cothren, Kristie is an individual health care provider with primary practice located at 185 Charlois Blvd , Winston Salem NC 27103-1521. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cothren, Kristie can be contacted via phone (336) 725-0222.

Contact Information

Primary practice address
185 Charlois Blvd Winston Salem NC 27103-1521
Fax: (336) 725-0454
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6173 North Carolina

Profile Details

NPI number 1518932870
LBN Legal business name Cothren, Kristie
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 27th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518932870 NPPES
North Carolina Other 141NT NC BCBS
North Carolina MEDICAID 7412482 NC BCBS

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