Individual
DR. KAITLYN MARIE WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1398 UNION CROSS RD, KERNERSVILLE, NC 27284-7532
(336) 993-9600
Mailing address
1106 BROADWATER DR, KERNERSVILLE, NC 27284-3860
(336) 497-5008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21944
NC
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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