Individual
KEVIN JETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3708 MERIWETHER DR APT K, DURHAM, NC 27704-2879
(984) 260-1038
Mailing address
3708 MERIWETHER DR APT K, DURHAM, NC 27704-2879
(984) 260-1038
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HC8019
NC
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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