Lackey, Kimberly J

Lackey, Kimberly J is an sole proprietor health care provider with primary practice located at 360 Riverbottom Rd , Ronda NC 28670-9300. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lackey, Kimberly J can be contacted via phone (828) 850-5107.

Contact Information

Primary practice address
360 Riverbottom Rd Ronda NC 28670-9300
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1619142973
LBN Legal business name Lackey, Kimberly J
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Aug 3rd, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619142973 NPPES
North Carolina Other 4877 NCLPC

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