Kelly Miles Lister in Zebulon - Clinical

Kelly Miles Lister - NPI 1790820983

Kelly Miles Lister is a Clinical in Zebulon, North Carolina. Kelly Miles Lister practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Miles Lister is 1790820983. The last update date is 2007-07-08.

Kelly Miles Lister's current location address is 1300 N Arendell Ave, Zebulon, North Carolina. You can contact this provider via phone number 9197967189. The mailing address for Kelly Miles Lister is 1300 N Arendell Ave, Zebulon, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Miles Lister
Address 1300 N Arendell Ave, Zebulon, North Carolina
Phone Number 9197967189
Fax Number
Sole Proprietor Y
Credentials MSW

NPI Number Detail

NPI Number 1790820983
Provider Enumeration Date 2007-02-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1300 N Arendell Ave
City Zebulon
State North Carolina (NC)
Post Code 275978732
Phone Number 9197967189
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C003281
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Kelly Miles Lister

What is the unique 10-digit identification code assigned to Kelly Miles Lister by the Centers for Medicare & Medicaid Services?

The Kelly Miles Lister has been issued the NPI (National Provider Identifier) 1790820983, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kelly Miles Lister is physically located?

The Kelly Miles Lister is physically situated at the following address: 1300 N Arendell Ave, Zebulon, NC, 275978732.

What is Kelly Miles Lister's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Miles Lister's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date was the 1790820983 assigned to Kelly Miles Lister?

The Kelly Miles Lister was issued its 1790820983 on 2007-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Kelly Miles Lister most recently updated or refreshed?

The details pertaining to the Kelly Miles Lister, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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