Katherine M Card, PA
Physician Assistant, Medical in Concord, NC. Individual provider (NPI-1).
NPI number1194976381
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1194976381
- Entity type
- Individual (NPI-1)
- Name
- Katherine M Card
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2008
- Last updated
- Jan 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 0010-02010 | NC | Yes |
| 363AM0700X | Physician Assistant, Medical | 012819 | NY |
Practice location
5641 Poplar Tent RdSuite 101
Concord, NC 28027-7533
Phone 704-782-1955 · Fax 704-782-3903
Mailing address
1601 Brenner AveSalisbury, NC 28144-2515
Phone 704-796-2164
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