| Killian Consulting Of Wnc, Pllc | |
|
3114 E Burma Rd Nebo NC 28761-8718 | |
| (828) 201-6901 | |
| Not Available |
| Full Name | Killian Consulting Of Wnc, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 3114 E Burma Rd, Nebo, North Carolina |
| Authorized Official Name and Position | Tristan Wayne Killian (OWNER/OPERATOR) |
| Authorized Official Contact | 8282016901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Killian Consulting Of Wnc, Pllc 356 Beaver Creek Rd Marion NC 28752-9081 Ph: (828) 201-6901 | Killian Consulting Of Wnc, Pllc 3114 E Burma Rd Nebo NC 28761-8718 Ph: (828) 201-6901 |
| NPI Number | 1366137549 |
|---|---|
| Provider Enumeration Date | 04/05/2023 |
| Last Update Date | 06/21/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 3779937800 |
|---|---|
| Medicare Enrollment ID | O20230922003723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366137549 | NPI | - | NPPES |
| 1508411026 | Medicaid | NC |
| Provider Name | Tristan Wayne Killian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508411026 PECOS PAC ID: 9830574698 Enrollment ID: I20220914001680 |
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