Mckisic, Kristy Ann

Mckisic, Kristy Ann is an sole proprietor health care provider with primary practice located at 1036 Speedway Ave Ste 2 , Fairmont WV 26554-4479. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Mckisic, Kristy Ann can be contacted via phone (614) 487-8758.

Contact Information

Primary practice address
1036 Speedway Ave Ste 2 Fairmont WV 26554-4479
Phone: (614) 487-8758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1144825357
LBN Legal business name Mckisic, Kristy Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2020
Last updated Dec 3rd, 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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