Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 2013-01776 | NC |
NPI | 1194925396 |
---|---|
Provider Name | Katherine Van Poppel |
First Address | Charlotte, NC 28219-9305 |
Second Address | Concord, NC 28025-2948 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 05/01/2022 |