Individual
DR. KATHLEEN MARIE MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
Mailing address
PO BOX 602598, WAKE FOREST UNIVERSITY HEALTH SCIENCES, CHARLOTTE, NC 28260-2598
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2009-00085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912824
—
NC
Enumeration date
10/10/2007
Last updated
12/03/2020
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