Healthcare Provider Details

I. General information

NPI: 1427913524
Provider Name (Legal Business Name): KHOLOUD ELTOUKHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 GLENKIRK DR
BURLINGTON NC
27215-9443
US

IV. Provider business mailing address

2115 GLENKIRK DR
BURLINGTON NC
27215-9443
US

V. Phone/Fax

Practice location:
  • Phone: 919-599-4697
  • Fax:
Mailing address:
  • Phone: 919-599-4697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: