Duckett, Krista

Duckett, Krista is an individual health care provider with primary practice located at 331 Sijen Ave , Whiteman Afb MO 65305-1269. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Duckett, Krista can be contacted via phone (660) 687-4341.

Contact Information

Primary practice address
331 Sijen Ave Whiteman Afb MO 65305-1269
Phone: (660) 687-4341
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I0600088 Ohio

Profile Details

NPI number 1902994031
LBN Legal business name Duckett, Krista
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated May 23rd, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902994031 NPPES
Ohio MEDICAID 0201010

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