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Individual

KRISTY L. PUTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1001 BLYTHE BLVD., SUITE 300 - CARDIAC SURGERY:, CHARLOTTE, NC 28203-5863
(704) 373-0212
(704) 372-1249
Mailing address
1001 BLYTHE BLVD., SUITE 300 - CARDIAC SURGERY:, CHARLOTTE, NC 28203-5863
(704) 373-0212
(704) 372-1249

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-00095
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0811PA
SC
05
1093763559
NC
05
8101666
NC
Enumeration date
05/05/2006
Last updated
11/15/2016
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