Individual
MICHAEL KIVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1206 N FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
822 LITTLE AVE, FAYETTEVILLE, NC 28312-6436
(910) 224-1133
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
566
NC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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