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Individual

KAITLYNN NOEL FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPO

Contact information

Practice address
1041 HAWTHORNE LN STE B, CHARLOTTE, NC 28205-2915
(704) 333-4700
(704) 333-4707
Mailing address
500 W TRADE ST APT 427, CHARLOTTE, NC 28202-3822
(717) 514-2563

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Enumeration date
12/05/2022
Last updated
12/05/2022
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