Individual
DR. KATI ELIZABETH DESSAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 RIDGE VIEW DR, SUITE 105, CARY, NC 27511-5589
(919) 859-7044
(919) 859-7052
Mailing address
100 RIDGE VIEW DR, SUITE 105, CARY, NC 27511-5589
(919) 859-7044
(919) 859-7052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32201
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1092658
CIGNA
NC
01
—
1409466
UNITED HEALTHCARE
NC
01
—
25129
WELLPATH
NC
01
—
4352699
AETNA
NC
01
—
58364
BCBS
NC
01
—
C0514
MEDCOST
NC
Enumeration date
09/23/2005
Last updated
02/02/2009
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