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Individual
KATAY C BOUTTAMY
Active
Individual
KATAY C BOUTTAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-00155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903516
—
NC
Enumeration date
05/20/2006
Last updated
08/17/2026
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