Individual
MRS. KAITLYN GERALDINE ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C ATC
Contact information
Practice address
2001 VAIL AVENUE, MSKI THIRD FLOOR, SUITE 3042, CHARLOTTE, NC 28207
(704) 304-5876
(704) 446-8870
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08384
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-08384
NC
Other
Enumeration date
10/04/2017
Last updated
11/03/2025
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