Individual
DR. KEVIN ETTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8401 MEDICAL PLAZA DR, SUITE 350, CHARLOTTE, NC 28262-8797
(704) 547-0020
Mailing address
509 SARDIS LN, CHARLOTTE, NC 28270-6509
(704) 365-5496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26653
NC
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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