Individual
KAITLYN NICOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1168 E CUTLAR XING STE 201, LELAND, NC 28451-6485
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15865
NC
363AS0400X
Surgical Physician Assistant
C5-0012064
DE
Other
Enumeration date
04/23/2024
Last updated
01/23/2026
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