Individual
CATHRYN DUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1814 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5350
(910) 452-3666
(910) 937-0930
Mailing address
1814 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5350
(910) 452-3666
(910) 937-0930
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
15-01330
KS
363LW0102X
Women's Health Nurse Practitioner
Primary
001003316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212200B
—
KS
01
—
12032896
CAQH
KS
Enumeration date
09/21/2009
Last updated
03/21/2012
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