Healthcare Provider Details

I. General information

NPI: 1952572109
Provider Name (Legal Business Name): LAUREN ELIZABETH KUHL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ELIZABETH KLINGMEYER

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 BLUE RIDGE RD STE 400
RALEIGH NC
27607-6477
US

IV. Provider business mailing address

4101 N ROXBORO ST
DURHAM NC
27704-2121
US

V. Phone/Fax

Practice location:
  • Phone: 919-787-5380
  • Fax:
Mailing address:
  • Phone: 919-684-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-00805
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: