Individual
KATHLEEN ANNE SHATTENKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 BELMONT CT, SOUTHERN PINES, NC 28387-2945
(910) 603-6782
Mailing address
128 BELMONT CT, SOUTHERN PINES, NC 28387-2945
(910) 603-6782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9500280
NC
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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