Kornegay, Bradley Edward

Kornegay, Bradley Edward is an individual health care provider with primary practice located at 925 Conference Dr Suite D, Greenville NC 27858-5971. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kornegay, Bradley Edward can be contacted via phone (252) 412-3207.

Contact Information

Primary practice address
925 Conference Dr Suite D Greenville NC 27858-5971
Phone: (252) 412-3207
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C009346 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS -2786 North Carolina

Profile Details

NPI number 1811235989
LBN Legal business name Kornegay, Bradley Edward
Credentials MSW, LCSW, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2013
Last updated Mar 2nd, 2015 - about 11 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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