Wyatt, Katherine D
Wyatt, Katherine D is an sole proprietor health care provider with primary practice located at 110 Kelvdon Dr , Kernersville NC 27284-8387. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wyatt, Katherine D can be contacted via phone (252) 474-4645.Contact Information
Primary practice address
110 Kelvdon Dr
Kernersville NC 27284-8387
Phone: (252) 474-4645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4900 | North Carolina |
Profile Details
| NPI number | 1467413393 |
|---|---|
| LBN Legal business name | Wyatt, Katherine D |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | May 5th, 2021 - about 3 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 | 1467413393 | NPPES |
| North Carolina | Other | 194339 | MEDCOST |
| North Carolina | Other | 831160000 | MEDCOST |
| North Carolina | Other | 204836896 | MEDCOST |
| North Carolina | Other | 2268491 | MEDCOST |
| North Carolina | Other | 1400F | MEDCOST |
| North Carolina | MEDICAID | 6102822 | MEDCOST |
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