Meriac, Kathleen Kelly

Meriac, Kathleen Kelly is an individual health care provider with primary practice located at 901 S New Hope Rd , Gastonia NC 28054-5829. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Meriac, Kathleen Kelly can be contacted via phone (704) 884-2571.

Contact Information

Primary practice address
901 S New Hope Rd Gastonia NC 28054-5829
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 504 North Carolina

Profile Details

NPI number 1427133669
LBN Legal business name Meriac, Kathleen Kelly
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1427133669 NPPES
North Carolina MEDICAID 6000768

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