Individual
MRS. KARI SUZANNE LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
204 EVANS RD, HOLLISTER, NC 27844-9247
(252) 586-5151
(252) 586-6932
Mailing address
PO BOX 640, ROANOKE RAPIDS, NC 27870-0640
(252) 536-5791
(252) 536-5444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA054654
PA
363AM0700X
Medical Physician Assistant
Primary
0010-04245
NC
Other
Enumeration date
12/27/2012
Last updated
03/14/2018
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