Mckendree, Kellye Jane Gist

Mckendree, Kellye Jane Gist is an sole proprietor health care provider with primary practice located at 1021 Andersonwood Dr , Fuquay Varina NC 27526-7976. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mckendree, Kellye Jane Gist can be contacted via phone (919) 417-1896.

Contact Information

Primary practice address
1021 Andersonwood Dr Fuquay Varina NC 27526-7976
Phone: (919) 417-1896
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3961 North Carolina

Profile Details

NPI number 1851444525
LBN Legal business name Mckendree, Kellye Jane Gist
Credentials M.A., L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 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 1851444525 NPPES
North Carolina MEDICAID 6102920

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