Lightle, Angela Kristin

Lightle, Angela Kristin is an individual health care provider with primary practice located at 1201 N 7Th St , Kansas City KS 66101-2103. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lightle, Angela Kristin can be contacted via phone (913) 956-4179.

Contact Information

Primary practice address
1201 N 7Th St Kansas City KS 66101-2103
Phone: (913) 956-4179
Fax: (913) 956-4190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5706 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4124 Kansas

Profile Details

NPI number 1093854747
LBN Legal business name Lightle, Angela Kristin
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jan 4th, 2012 - about 12 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 1093854747 NPPES
Kansas MEDICAID 100098080A

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