Individual
DR. KATHLEEN LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5928 N HILLS DR, RALEIGH, NC 27609-4236
(919) 876-9991
Mailing address
5928 N HILLS DR, RALEIGH, NC 27609-4236
(919) 876-9991
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890800X
—
NC
Enumeration date
05/01/2006
Last updated
09/30/2021
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