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
Phone: (828) 262-9700
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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