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
Phone: (608) 404-6869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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