Individual
DR. KAITLYN RETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
924 N HOWE ST, SOUTHPORT, NC 28461-3099
(910) 457-3800
Mailing address
5103 NORTHCREEK RD, WILMINGTON, NC 28409-4119
(908) 377-6286
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016-01465
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2014
Last updated
05/03/2024
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