Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 200101241 | NC |
NPI | 1467558924 |
---|---|
Provider Name | Kecha Lynshue |
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 | 15/09/2006 |
Last Update Date | 05/01/2022 |