Kim, Katelyn Mariko

Kim, Katelyn Mariko is an individual health care provider with primary practice located at 110 Preston Executive Dr Ste 100 , Cary NC 27513-8447. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Kim, Katelyn Mariko can be contacted via phone (919) 653-1344.

Contact Information

Primary practice address
110 Preston Executive Dr Ste 100 Cary NC 27513-8447
Phone: (919) 653-1344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2022-02027 North Carolina

Profile Details

NPI number 1487159596
LBN Legal business name Kim, Katelyn Mariko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Oct 29th, 2023 - about 3 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.

Request for update

Popular Providers