Individual
CASEY KENYON MAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
114 KINDERTON BLVD, ADVANCE, NC 27006-7302
(336) 998-9742
(336) 998-9410
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2400
(336) 802-2536
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
12286-NP
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
5007441
NC
Other
Enumeration date
04/05/2011
Last updated
02/02/2015
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