Rife, Kelly Cruse

Rife, Kelly Cruse is an sole proprietor health care provider with primary practice located at 107 Kilson Dr Ste 202 , Mooresville NC 28117-8183. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rife, Kelly Cruse can be contacted via phone (704) 660-8321.

Contact Information

Primary practice address
107 Kilson Dr Ste 202 Mooresville NC 28117-8183
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 987 North Carolina

Profile Details

NPI number 1720282411
LBN Legal business name Rife, Kelly Cruse
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Sep 10th, 2020 - about 6 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 1720282411 NPPES
North Carolina Other 71418 BCBS

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