Individual
KAITLYN MAE REXROAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4350 US 421 S, LILLINGTON, NC 27546-6760
(910) 893-1210
Mailing address
56 LANSING CT E, SANFORD, NC 27332-2368
(248) 408-0885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10492
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
09/09/2020
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