Individual
KATHY MASSENGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4611
(252) 816-0762
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
128276
NC
Other
Enumeration date
11/21/2014
Last updated
01/02/2026
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