Connelly, Kathy Caudle

Connelly, Kathy Caudle is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Connelly, Kathy Caudle can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (919) 350-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 061704 North Carolina

Profile Details

NPI number 1598875445
LBN Legal business name Connelly, Kathy Caudle
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598875445 NPPES
North Carolina MEDICAID 7000445

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