Grapes, Kristin Elizabeth

Grapes, Kristin Elizabeth is an sole proprietor health care provider with primary practice located at 2910 Briarcliff Road , Winston Salem NC 27106-3176. She recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as her primary health care specialty. Grapes, Kristin Elizabeth can be contacted via phone (336) 407-6764.

Contact Information

Primary practice address
2910 Briarcliff Road Winston Salem NC 27106-3176
Phone: (336) 407-6764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 673 North Carolina

Profile Details

NPI number 1427089671
LBN Legal business name Grapes, Kristin Elizabeth
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jun 13th, 2016 - about 9 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 1427089671 NPPES
North Carolina Other 1582323 VALUE OPTIONS
North Carolina MEDICAID 6000520 VALUE OPTIONS
North Carolina Other 6114757 VALUE OPTIONS
North Carolina Other 03629 VALUE OPTIONS

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