Individual
KRISTINA MARIE EILBACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, LATC, CSCS
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 970-4229
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(800) 782-6945
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000669
CT
2255A2300X
Athletic Trainer
001924-1
NY
363AS0400X
Surgical Physician Assistant
Primary
0010-05259
NC
Other
Enumeration date
10/29/2011
Last updated
10/03/2016
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