Individual
KAITLYN GOSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11220 ELM LN STE 102, CHARLOTTE, NC 28277-0716
(704) 847-4000
(704) 847-4001
Mailing address
1908 HILCO ST STE B, ALBEMARLE, NC 28001-6388
(704) 983-3855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
08/03/2023
Last updated
11/01/2024
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