Individual
MRS. KATHRYN EVERHART BODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4401 RAMSEY STREET, FAST MED URGENT CARE, SUITE 104, FAYETTEVILLE, NC 28311
(910) 354-3372
(910) 491-5813
Mailing address
966 PEPPERWOOD DRIVE, FAYETTEVILLE, NC 28311
(919) 817-7811
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101227
LICENSE NUMBER
NC
Enumeration date
05/22/2007
Last updated
05/25/2021
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