Small, Kristi Whitley
Small, Kristi Whitley is an individual health care provider with primary practice located at 1908 Hilco St Suite B, Albemarle NC 28001-6307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Small, Kristi Whitley can be contacted via phone (704) 983-3855.Contact Information
Primary practice address
1908 Hilco St Suite B
Albemarle NC 28001-6307
Phone: (704) 983-3855
Fax: (704) 985-1031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 102003 | North Carolina |
Profile Details
| NPI number | 1992775175 |
|---|---|
| LBN Legal business name | Small, Kristi Whitley |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Aug 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992775175 | NPPES |
| North Carolina | MEDICAID | 8984978 | |
| North Carolina | Other | 0105E |
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