Individual
KATHRYN LEIGH GOMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-7070
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
0010-02722
NC
363A00000X
Physician Assistant
Primary
0010-02722
NC
Other
Enumeration date
12/17/2010
Last updated
07/15/2024
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