Individual
MARTHA KATE MCKEMIE LILLETHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 771-5500
(828) 257-4750
Mailing address
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 771-5500
(828) 771-5454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
214924
NC
363LF0000X
Family Nurse Practitioner
Primary
5005613
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NC9622B
PTAN
NC
Enumeration date
05/17/2012
Last updated
02/06/2020
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