Individual
KAITLIN JANE GOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5260
(704) 210-5265
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 210-5260
(704) 210-5265
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14178
NC
Other
Enumeration date
05/15/2023
Last updated
05/29/2024
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