Mckendree, Kellye Jane Gist
Mckendree, Kellye Jane Gist is an sole proprietor health care provider with primary practice located at 1021 Andersonwood Dr , Fuquay Varina NC 27526-7976. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mckendree, Kellye Jane Gist can be contacted via phone (919) 417-1896.Contact Information
Primary practice address
1021 Andersonwood Dr
Fuquay Varina NC 27526-7976
Phone: (919) 417-1896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3961 | North Carolina |
Profile Details
| NPI number | 1851444525 |
|---|---|
| LBN Legal business name | Mckendree, Kellye Jane Gist |
| Credentials | M.A., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851444525 | NPPES |
| North Carolina | MEDICAID | 6102920 |
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