Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 801 | NC |
NPI | 1053968461 |
---|---|
Provider Name | Katelyn Rebekah Veal |
First Address | Durham, NC 27713-9016 |
Second Address | Burlington, NC 27215-8700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2019 |
Last Update Date | 16/11/2021 |