Individual
KATHLEEN BARKLEY STUTESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6324 FAIRVIEW RD STE 201, CHARLOTTE, NC 28210-4278
(704) 384-0588
(704) 384-0580
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015423
NC
363LF0000X
Family Nurse Practitioner
BARK-WGX38
NC
Other
Enumeration date
11/11/2021
Last updated
08/11/2022
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