Kingsley, Emily Louise
Kingsley, Emily Louise is an individual health care provider with primary practice located at 170 Medical Park Rd Ste 205 , Mooresville NC 28117-8540. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kingsley, Emily Louise can be contacted via phone (704) 664-4679.Contact Information
Primary practice address
170 Medical Park Rd Ste 205
Mooresville NC 28117-8540
Phone: (704) 664-4679
Fax: (704) 761-6988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2012-01586 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012-01586 | North Carolina |
Profile Details
| NPI number | 1215198551 |
|---|---|
| LBN Legal business name | Kingsley, Emily Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Jun 8th, 2023 - about 2 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 | 1215198551 | NPPES |
| North Carolina | Other | 232009 | MEDICARE PTAN, GROUP |
| North Carolina | MEDICAID | 5921857 | MEDICARE PTAN, GROUP |
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