Individual
KAITLIN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2150 HERBERT CT, GREENVILLE, NC 27834-3736
(252) 744-2516
(252) 744-1514
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316486830
—
NC
01
—
19P2N
BCBS OF NC
NC
01
—
NCW6650322
MEDICARE
NC
Enumeration date
02/16/2017
Last updated
03/19/2025
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