Healthcare Provider Details

I. General information

NPI: 1346160066
Provider Name (Legal Business Name): KRISTOPHER HUGH RATHBONE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 BREVARD RD
ARDEN NC
28704-9145
US

IV. Provider business mailing address

141 HILLSIDE ST
ASHEVILLE NC
28801-1205
US

V. Phone/Fax

Practice location:
  • Phone: 828-564-6479
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number30311
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: