Individual
MRS. KATHLEEN LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3727 FAYETTEVILLE ST, DURHAM, NC 27707-4718
(919) 956-4519
Mailing address
1401 N DUKE ST, DURHAM, NC 27701-1236
(919) 956-4519
(919) 688-3288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
180878
NC
Other
Enumeration date
05/31/2006
Last updated
01/12/2011
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