Individual
ELIZABETH ANN KASBOHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10211 ALM ST, SUITE 1200, RALEIGH, NC 27617-8221
(919) 620-4467
(919) 620-4921
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4467
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001001276
NC
Other
Enumeration date
11/14/2008
Last updated
02/21/2013
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