Provider Demographics
NPI:1124828264
Name:CLOSIUS, KINLEY
Entity type:Individual
Prefix:
First Name:KINLEY
Middle Name:
Last Name:CLOSIUS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 GREGORY FORK RD
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-8215
Mailing Address - Country:US
Mailing Address - Phone:828-974-6458
Mailing Address - Fax:
Practice Address - Street 1:199 GREGORY FORK RD
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-8215
Practice Address - Country:US
Practice Address - Phone:828-974-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant