Wiley, Kelly Ponder

Wiley, Kelly Ponder is an sole proprietor health care provider with primary practice located at 895 State Farm Rd Suite 103, Boone NC 28607-4917. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wiley, Kelly Ponder can be contacted via phone (828) 262-9700.

Contact Information

Primary practice address
895 State Farm Rd Suite 103 Boone NC 28607-4917
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5057A North Carolina

Profile Details

NPI number 1912113184
LBN Legal business name Wiley, Kelly Ponder
Credentials LMFTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 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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