Individual
MRS. KAITLYN KIRBY LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
702 N MAIN ST, ROXBORO, NC 27573-4755
(336) 599-9271
(336) 599-0347
Mailing address
702 N MAIN ST, ROXBORO, NC 27573-4755
(336) 599-9271
(336) 599-0347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09240
NC
363AM0700X
Medical Physician Assistant
0010-09240
NC
Other
Enumeration date
07/12/2019
Last updated
10/29/2020
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