Individual
KRISTEN MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 DONALD ROSS DR, RALEIGH, NC 27610-2593
(919) 250-3320
Mailing address
2807 HAZELWOOD DR, RALEIGH, NC 27608-1417
(919) 783-5867
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101458
NC
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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