Individual
KIRK ALEXANDER WAHTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Mailing address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007247
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558796599
—
NC
01
—
NNC704A
MEDICARE
NC
Enumeration date
09/10/2013
Last updated
03/28/2024
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