Individual
DR. KATERYNA V KOTLYAREVSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2131 S 17TH ST, NEW HANOVER REGIONAL MEDICAL CENTER, WILMINGTON, NC 28401-7407
(910) 667-3984
(910) 667-4639
Mailing address
4869 COLLEGE ACRES DR, APARTMENT E, WILMINGTON, NC 28403-1743
(734) 703-1256
(910) 667-4639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301086529
MI
2080P0205X
Pediatric Endocrinology Physician
Primary
2008-01642
NC
390200000X
Student in an Organized Health Care Education/Training Program
4301086529
MI
Other
Enumeration date
03/16/2007
Last updated
02/12/2009
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