Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 05-38676 | KS |
N | 208600000X | Surgeon | 05-38676 | KS |
Y | 208200000X | Surgeon | 2019-02819 | NC |
Y | 208600000X | Surgeon | 2019-02819 | NC |
N | 208200000X | Surgeon | 05-38676 | KS |
N | 208600000X | Surgeon | 05-38676 | KS |
N | 2086S0105X | Surgery of the Hand | 05-38676 | KS |
NPI | 1871704056 |
---|---|
Provider Name | Dr. Carla Kate Skytta |
First Address | Fletcher, NC 28732-1869 |
Second Address | Arden, NC 28704-7714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2007 |
Last Update Date | 04/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2019-02819 | STATE LICENSE (01) | NC |