Individual
MRS. KATHERINE REID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10430 PARK RD STE 100A, CHARLOTTE, NC 28210-8541
(704) 259-7673
Mailing address
10430 PARK RD STE 100A, CHARLOTTE, NC 28210-8541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019246
NC
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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