Individual provider · Type 1 NPI

Kaitlyn Cockerham Stefanick, PA-C

Surgical Physician Assistant · Durham, NC

NPI number 1174147102 Active

Practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

622 E Whitaker Mill Rd
Raleigh, NC 27608-2636

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0010-09836 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1174147102

Kaitlyn Cockerham Stefanick, PA-C's National Provider Identifier is 1174147102, issued on Jun 5, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Durham, NC. The record was last updated on Feb 18, 2021.