Individual
KATHRYN MICHELLE GODLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1800 MARTIN LUTHER KING PKWY STE 100, DURHAM, NC 27707
(919) 578-2323
(833) 264-1971
Mailing address
1415 W NC HIGHWAY 54 STE 125, DURHAM, NC 27707-5578
(919) 578-2323
(833) 264-1971
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-03453
NC
Other
Enumeration date
10/15/2009
Last updated
04/24/2024
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