Dacey, Kaitlynn
Dacey, Kaitlynn is an individual health care provider with primary practice located at 262 Leroy George Dr , Clyde NC 28721-7430. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dacey, Kaitlynn can be contacted via phone (828) 456-7311.Contact Information
Primary practice address
262 Leroy George Dr
Clyde NC 28721-7430
Phone: (828) 456-7311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P014828 | North Carolina |
Profile Details
| NPI number | 1437605565 |
|---|---|
| LBN Legal business name | Dacey, Kaitlynn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2016 |
| Last updated | Apr 7th, 2022 - about 2 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 | 1437605565 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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