Individual
DR. KATHLEEN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4551 NEW BERN AVE STE 160, RALEIGH, NC 27610-1552
(919) 861-7793
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
034168
CT
208000000X
Pediatrics Physician
Primary
2009-02005
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001341685
—
CT
05
—
5916114
—
NC
Enumeration date
07/19/2005
Last updated
07/09/2013
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