Individual
BILLY KEITH IDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 ALLEN AVE STE B, ASHEVILLE, NC 28803-2272
(828) 200-3739
Mailing address
1 BRADDOCK WAY, ASHEVILLE, NC 28803-2035
(828) 200-3739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C008783
NC
Other
Enumeration date
07/18/2012
Last updated
04/10/2014
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