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
Fax: (910) 347-0740
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780883439 NPPES
North Carolina MEDICAID 6107511
North Carolina Other 146A8

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