Individual
KATHERINE KARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2701 HENRY ST, GREENSBORO, NC 27405-3669
(336) 375-4263
(336) 375-4262
Mailing address
2701 HENRY ST, GREENSBORO, NC 27405-3669
(336) 375-4263
(336) 375-4262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078U8
BCBS
NC
01
—
2500823B
MEDICARE PT
NC
05
—
7211367
—
NC
01
—
C4757
MEDCOST
NC
01
—
P00010442
MEDICARE RAILROAD
NC
Enumeration date
11/08/2005
Last updated
12/08/2010
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