Individual
KRISTIN WHITELY GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9615 KINCEY AVE STE 100, HUNTERSVILLE, NC 28078-9140
(704) 316-5635
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-00973
NC
208000000X
Pediatrics Physician
2018-00973
NC
Other
Enumeration date
04/07/2014
Last updated
04/29/2021
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