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NPI Code Detail

MEDICARE: KATELYN ELIZABETH EARLS M.D.

MEDICARE: KATELYN ELIZABETH EARLS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianD79289MD
2207W00000XOphthalmology Physician0101252330VA

General Provider Information

NPI Number : 1760776629
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN ELIZABETH EARLS M.D.
Provider Business Mailing Address
First Line : WOMACK ARMY MEDICAL CENTER
Second Line : 2817 ROCK MERRITT AVE STOP A
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-7405
Fax Number : 910-907-8614
Provider Business Practice Location Address
First Line : WOMACK ARMY MEDICAL CENTER
Second Line : 2817 ROCK MERRITT AVE STOP A
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 910-907-7405
Fax Number : 910-907-8614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2011
Last Update Date : 12/22/2025

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