Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 2012012830 | MO |
Y | 207RG0100X | Gastroenterologist | 2016-01963 | NC |
NPI | 1013183136 |
---|---|
Provider Name | Dr. Kara Anne Regan |
First Address | Greenville, NC 27834-2849 |
Second Address | Greenville, NC 27834-2849 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 14/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013183136 | (05) | MO |