Individual
DR. KATIE KICKERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
6842 CARNEGIE BLVD STE 200, CHARLOTTE, NC 28211-3500
(980) 423-1272
Mailing address
5410 SHANNON BELL LN, CHARLOTTE, NC 28277-4425
(815) 222-2102
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
10608
SC
1223E0200X
Endodontics
Primary
12949
NC
Other
Enumeration date
07/06/2009
Last updated
08/07/2023
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