Kornbau, Kyle M

Kornbau, Kyle M is an individual health care provider with primary practice located at 1101 Pemberton Hill Rd Ste 103 , Apex NC 27502-3957. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Kornbau, Kyle M can be contacted via phone (919) 434-6398.

Contact Information

Primary practice address
1101 Pemberton Hill Rd Ste 103 Apex NC 27502-3957
Phone: (919) 434-6398
Fax: (919) 557-2089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7714 North Carolina
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3335 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S7714 North Carolina

Profile Details

NPI number 1942416912
LBN Legal business name Kornbau, Kyle M
Credentials LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Oct 22nd, 2020 - about 4 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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