Kaul, Kristin Nickla

Kaul, Kristin Nickla is an sole proprietor health care provider with primary practice located at 1129 Horseshoe Rd , Elizabeth City NC 27909-8507. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kaul, Kristin Nickla can be contacted via phone (252) 335-2018.

Contact Information

Primary practice address
1129 Horseshoe Rd Elizabeth City NC 27909-8507
Phone: (252) 335-2018
Fax: (252) 335-9521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2172 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2172 North Carolina

Profile Details

NPI number 1942251665
LBN Legal business name Kaul, Kristin Nickla
Credentials M.S., L.P.A., HSP-PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Sep 21st, 2021 - about 4 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 1942251665 NPPES
North Carolina MEDICAID 6107217
North Carolina Other 139VP

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