Individual
KAVITHAMANI MALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3500 N ROXBORO ST STE 1B, DURHAM, NC 27704-2985
(919) 578-3974
(877) 723-2970
Mailing address
3500 N ROXBORO ST STE 1B, DURHAM, NC 27704-2985
(919) 578-3974
(877) 723-2970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011822
NC
363LF0000X
Family Nurse Practitioner
Primary
F01191504
NC
Other
Enumeration date
04/05/2019
Last updated
03/31/2026
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