Individual
KAITLIN ROSE LOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14063
NC
363A00000X
Physician Assistant
Primary
13981
GA
Other
Enumeration date
05/16/2023
Last updated
06/02/2026
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