Healthcare Provider Details

I. General information

NPI: 1821594789
Provider Name (Legal Business Name): KRISTEN LEA WHITLOCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN LEA VEAL MD

II. Dates (important events)

Enumeration Date: 03/31/2018
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 DUKE HEALTH CARY PL STE 420
CARY NC
27519-6760
US

IV. Provider business mailing address

100 DUKE HEALTH CARY PL STE 420
CARY NC
27519-6760
US

V. Phone/Fax

Practice location:
  • Phone: 919-385-8321
  • Fax: 919-385-9786
Mailing address:
  • Phone: 919-385-8321
  • Fax: 919-385-9786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2021-03394
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: