Individual
KATHLEEN MARIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 FIRST VILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
Mailing address
5 FIRST VILLAGE DRIVE, PINEHURST, NC 28374
(910) 295-6831
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2006-00044
NC
208100000X
Physical Medicine & Rehabilitation Physician
D57887
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903767
—
NC
05
—
686801100
—
MD
Enumeration date
06/08/2006
Last updated
10/15/2012
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