Individual
KATHRYN BAILEY JEUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
3001 EDWARDS MILL RD, RALEIGH, NC 27612-5243
(919) 781-5600
Mailing address
3001 EDWARDS MILL RD STE 200, RALEIGH, NC 27612-5243
(919) 781-5600
(911) 986-3682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2000031661
—
363A00000X
Physician Assistant
Primary
0010-13281
NC
Other
Enumeration date
08/28/2015
Last updated
06/20/2023
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