Nunn, Keith David

Nunn, Keith David is an individual health care provider with primary practice located at 1400 Willow Ln , North Wilkesboro NC 28659-3551. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Nunn, Keith David can be contacted via phone (336) 667-5151.

Contact Information

Primary practice address
1400 Willow Ln North Wilkesboro NC 28659-3551
Phone: (336) 667-5151
Fax: (336) 838-3133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5221 North Carolina

Profile Details

NPI number 1457300774
LBN Legal business name Nunn, Keith David
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jun 7th, 2013 - about 11 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 1457300774 NPPES
North Carolina MEDICAID 6103158
North Carolina Other 1413X

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