Brescoach, Kiley Rhae

Brescoach, Kiley Rhae is an individual health care provider with primary practice located at 225 Fairmont Ave , Fairmont WV 26554-2710. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Brescoach, Kiley Rhae can be contacted via phone (608) 404-6869.

Contact Information

Primary practice address
225 Fairmont Ave Fairmont WV 26554-2710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X West Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X SW041915027 West Virginia

Profile Details

NPI number 1881241479
LBN Legal business name Brescoach, Kiley Rhae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2019
Last updated Aug 20th, 2019 - about 7 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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