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Individual

DR. KAITLYN MARIE HURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12611 N COMMUNITY HOUSE RD STE 100, CHARLOTTE, NC 28277-3817
(704) 316-3410
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101271603
VA
207X00000X
Orthopaedic Surgery Physician
Primary
2022-00463
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
0101271603
VA

Other

Enumeration date
06/20/2016
Last updated
09/16/2022
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