Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD439287 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | 2019-02317 | NC |
NPI | 1033317581 |
---|---|
Provider Name | Kathryn Gloyer |
First Address | Raleigh, NC 27615-4731 |
Second Address | Raleigh, NC 27615-4731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 18/12/2020 |