Individual provider · Type 1 NPI

Kristopher Brandon-Paul Latour, MD

Student in an Organized Health Care Education/Training Program · Monroe, NC

NPI number 1548964778 Active

Practice location

1106 Reynolds St
Monroe, NC 28112-4375

Call (704) 667-9772 Map

Fax (704) 667-9798

Mailing address

1441 N 12th St Fl 2
Phoenix, AZ 85006-2837

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1548964778

Kristopher Brandon-Paul Latour, MD's National Provider Identifier is 1548964778, issued on Mar 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Monroe, NC. The record was last updated on Jun 16, 2026.