Welborn, Kimberly Dawn

Welborn, Kimberly Dawn is an individual health care provider with primary practice located at 118 Peace St , North Wilkesboro NC 28659-4519. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Welborn, Kimberly Dawn can be contacted via phone (336) 667-1440.

Contact Information

Primary practice address
118 Peace St North Wilkesboro NC 28659-4519
Fax: (336) 667-1489
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5461 North Carolina

Profile Details

NPI number 1255428066
LBN Legal business name Welborn, Kimberly Dawn
Credentials MA, ED.S, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 9th, 2007 - about 18 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 1255428066 NPPES
North Carolina MEDICAID PENDING

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