Individual
KATELYN A WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 ASHVILLE AVE, CARY, NC 27518-6600
(919) 350-7546
Mailing address
481 E MAIN ST APT 200, CLAYTON, NC 27520-2566
(919) 901-9905
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
0010-15891
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-15891
NC
Other
Enumeration date
04/07/2025
Last updated
11/03/2025
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