Individual
KATHLEEN A JANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7320 SIX FORKS RD, STE 260, RALEIGH, NC 27615
(919) 846-9292
(919) 848-3638
Mailing address
7320 SIX FORKS RD, STE 260, RALEIGH, NC 27615
(919) 846-9292
(919) 848-3638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10394
BCBS-NORTH CAROLINA
NC
05
—
8910394
—
NC
Enumeration date
07/06/2006
Last updated
12/13/2010
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