Individual
KYLEE NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
Mailing address
1116 W 1ST ST, CHARLOTTE, NC 28202-1076
(405) 657-0955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-13698
NC
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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