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NPI 1164090015

NPI 1164090015 : KATHLEEN FRANCIS DO, MPH : FAYETTEVILLE, NC

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General NPI Number Information
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    NPI Number           |    1164090015
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN FRANCIS DO, MPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/16/2021
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    Last Update Date     |    08/12/2025
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Provider Practice Location Address
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    Address Line         |    1638 OWEN DR 
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    City                 |    FAYETTEVILLE
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    State                |    NC
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    Zip                  |    28304-3424
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    Country              |    US
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    Telephone            |    910-615-5610
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    Fax                  |    910-615-5080
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Provider Business Mailing Address
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    Address Line         |    2000 PEPPERELL PKWY 
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    City                 |    OPELIKA
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    State                |    AL
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    Zip                  |    36801-5452
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    Country              |    US
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    Telephone            |    334-528-3035
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    Fax                  |    334-528-1661
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    2024-02182
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2024-02182
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    License Number State |    NC
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