Individual
MISS KATHLEEN ELISE BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
6005 HICKORY GROVE RD, CHARLOTTE, NC 28215-4129
(704) 945-6480
(704) 945-6485
Mailing address
1951 OLD STEELE CREEK RD, CHARLOTTE, NC 28208-6080
(704) 926-5434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08178
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-08178
NORTH CAROLINA MEDICAL BOARD
NC
Enumeration date
09/19/2018
Last updated
09/19/2018
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