Kailbourne, Gail Patricia
Kailbourne, Gail Patricia is an sole proprietor health care provider with primary practice located at 2714 Idlewood Ln , Statesville NC 28625-4729. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kailbourne, Gail Patricia can be contacted via phone (704) 838-4040.Contact Information
Primary practice address
2714 Idlewood Ln
Statesville NC 28625-4729
Phone: (704) 838-4040
Fax: (704) 838-7668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LPC-5113 | North Carolina |
Profile Details
| NPI number | 1356493613 |
|---|---|
| LBN Legal business name | Kailbourne, Gail Patricia |
| Credentials | MS CSP, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Sep 26th, 2012 - about 12 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 | 1356493613 | NPPES |
| North Carolina | MEDICAID | 6103337 |
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