Kershaw, Kathy Tomblin

Kershaw, Kathy Tomblin is an individual health care provider with primary practice located at 100 Europa Dr Suite 490, Chapel Hill NC 27517-2357. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kershaw, Kathy Tomblin can be contacted via phone (919) 913-4134.

Contact Information

Primary practice address
100 Europa Dr Suite 490 Chapel Hill NC 27517-2357
Fax: (919) 913-4004
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4072 North Carolina

Profile Details

NPI number 1598985129
LBN Legal business name Kershaw, Kathy Tomblin
Credentials MA LPC NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
Last updated Sep 11th, 2007 - about 17 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 1598985129 NPPES
North Carolina MEDICAID 6103086

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