Individual
KRISTIN NICKLA KAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.A., HSP-PA
Contact information
Practice address
905 HALSTEAD BLVD STE 7&8, ELIZABETH CITY, NC 27909-6986
(252) 335-2018
(252) 335-9521
Mailing address
905 HALSTEAD BLVD STE 7&8, ELIZABETH CITY, NC 27909-6986
(252) 335-2018
(252) 335-9521
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2172
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139VP
BC/BS
NC
05
—
6107217
—
NC
Enumeration date
05/15/2006
Last updated
01/02/2025
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