Individual
MRS. KATHRYN ODOM BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3050 DURALEIGH RD, SUITE 201, RALEIGH, NC 27612-5448
(984) 215-6950
Mailing address
PO BOX 945395, ATLANTA, GA 30394-5395
(888) 280-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00279
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185108
MEDCOST
NC
01
—
2628885
UHC
NC
Enumeration date
08/05/2006
Last updated
10/07/2021
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