Individual
KATHERINE M CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5641 POPLAR TENT RD, SUITE 101, CONCORD, NC 28027-7533
(704) 782-1955
(704) 782-3903
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 796-2164
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02010
NC
363AM0700X
Medical Physician Assistant
012819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194976381
—
NC
05
—
1532PA
—
SC
05
—
8102012
—
NC
Enumeration date
10/06/2008
Last updated
01/02/2019
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