Waters, Kilah

Waters, Kilah is an individual health care provider with primary practice located at 1443 Hartford Ave , Johnston RI 02919-3224. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Waters, Kilah can be contacted via phone (401) 553-1000.

Contact Information

Primary practice address
1443 Hartford Ave Johnston RI 02919-3224
Phone: (401) 553-1000
Fax: (401) 553-1146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1659573848
LBN Legal business name Waters, Kilah
Credentials MASTERS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 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 1659573848 NPPES
Rhode Island Other 30343 BLUE CROSS CRISIS

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