Rivers, Kathleen

Rivers, Kathleen is an individual health care provider with primary practice located at 1341 Walter Reed Road , Fayetteville NC 28304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rivers, Kathleen can be contacted via phone (910) 609-3500.

Contact Information

Primary practice address
1341 Walter Reed Road Fayetteville NC 28304
Fax: (910) 321-6238
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201363 North Carolina

Profile Details

NPI number 1093715898
LBN Legal business name Rivers, Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
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 1093715898 NPPES
North Carolina MEDICAID 7003742

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