Kelly, Kim J

Kelly, Kim J is an sole proprietor health care provider with primary practice located at 200 S Pollock St , Selma NC 27576-3062. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Kelly, Kim J can be contacted via phone (919) 965-6770.

Contact Information

Primary practice address
200 S Pollock St Selma NC 27576-3062
Phone: (919) 965-6770
Fax: (919) 965-0196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2526 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2526 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X 2526 North Carolina

Profile Details

NPI number 1730457193
LBN Legal business name Kelly, Kim J
Credentials LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2011
Last updated Feb 25th, 2016 - about 8 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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