Individual
KAITLYN ANN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5160 OCEAN HWY W, SHALLOTTE, NC 28470-4012
(910) 332-3800
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(610) 636-0405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15236
NC
Other
Enumeration date
12/21/2023
Last updated
06/02/2025
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