Whitley, Kelli Mcamis
Whitley, Kelli Mcamis is an individual health care provider with primary practice located at 1703 Country Club Rd Suite 204, Jacksonville NC 28546-6008. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Whitley, Kelli Mcamis can be contacted via phone (910) 347-3010.Contact Information
Primary practice address
1703 Country Club Rd Suite 204
Jacksonville NC 28546-6008
Phone: (910) 347-3010
Fax: (910) 347-0740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2445 | North Carolina |
Profile Details
NPI number | 1780883439 |
---|---|
LBN Legal business name | Whitley, Kelli Mcamis |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 13th, 2007 |
Last updated | May 8th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780883439 | NPPES |
North Carolina | MEDICAID | 6107511 | |
North Carolina | Other | 146A8 |
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