Individual
MRS. AIMEE BUCK KERCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 384-5420
(704) 384-5424
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5420
(704) 384-5424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00303
NC
363AM0700X
Medical Physician Assistant
102969
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
946356654Q
—
NC
Enumeration date
12/22/2005
Last updated
10/28/2020
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