Kebaso, Dorothy

Kebaso, Dorothy is an sole proprietor health care provider with primary practice located at 2525 Court Dr , Gastonia NC 28054-2140. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kebaso, Dorothy can be contacted via phone (704) 834-2000.

Contact Information

Primary practice address
2525 Court Dr Gastonia NC 28054-2140
Phone: (704) 834-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 265899 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5013813 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5013813 North Carolina

Profile Details

NPI number 1730501214
LBN Legal business name Kebaso, Dorothy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2014
Last updated Feb 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730501214 NPPES
North Carolina MEDICAID 1730501214

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