Individual
AMANDA COTTLE KAPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13270 BRANTLEY WOODS RD, ZEBULON, NC 27597
(919) 909-3577
(919) 375-4469
Mailing address
PO BOX 1065, ZEBULON, NC 27597-1065
(919) 909-3577
(919) 375-4469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6369
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144XT
BCBS
NC
05
—
7412381
—
NC
Enumeration date
04/19/2007
Last updated
03/27/2017
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