Kaul, Kristin Nickla
Kaul, Kristin Nickla is an sole proprietor health care provider with primary practice located at 1129 Horseshoe Rd , Elizabeth City NC 27909-8507. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kaul, Kristin Nickla can be contacted via phone (252) 335-2018.Contact Information
Primary practice address
1129 Horseshoe Rd
Elizabeth City NC 27909-8507
Phone: (252) 335-2018
Fax: (252) 335-9521
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2172 | North Carolina |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2172 | North Carolina |
Profile Details
NPI number | 1942251665 |
---|---|
LBN Legal business name | Kaul, Kristin Nickla |
Credentials | M.S., L.P.A., HSP-PA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 15th, 2006 |
Last updated | Sep 21st, 2021 - about 3 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 | 1942251665 | NPPES |
North Carolina | MEDICAID | 6107217 | |
North Carolina | Other | 139VP |
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