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Individual

MISS KATHRYN PATRICIA LANGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS, PA-C

Contact information

Practice address
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 934-8171
Mailing address
214 LAKESIDE DR, SELMA, NC 27576
(919) 262-4341

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03762
NC

Other

Enumeration date
09/06/2012
Last updated
11/07/2013
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