Kristy L. Putts PA-C

NPI 1093763559 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093763559
Gender Female
Enumeration Date 05/05/2006
Last Updated 05/17/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
CHARLOTTE NC, 28203-5866, US
Phone (704) 373-0212
Fax (704) 373-1216
Business Location
PO BOX 601067
CHARLOTTE NC, 28260-1067, US
Phone (704) 373-0212
Fax (704) 602-6563
Taxonomy Code 363AM0700X
License State North Carolina
License Number 0010-00095
Remove 1093763559 NPI Number

According to our database, Kristy L. Putts PA-C NPI is 1093763559, taxonomy code is 363AM0700X and license number is 0010-00095, license state is located at North Carolina. Kristy L. Putts PA-C physically located at 1001 Blythe Blvd, Charlotte NC, 28203-5866. NPI Number Kristy L. Putts PA-C has the Individual type.

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1093763559 NPI number is provided on an as is basis without warranty of any kind. 1093763559 is maintained by the National Plan & Provider Enumeration System. The contents of Kristy L. Putts PA-C are for informational purposes only.