Individual
KATELYN BOUTHILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
(704) 291-9267
Mailing address
404 S SUTHERLAND AVE, MONROE, NC 28112-5060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
04/30/2026
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