MEDICARE: KARA NICKOLE-WHITE HINTON

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
1	225X00000X	Occupational Therapist	9140	NC

General Provider Information

NPI Number	:	1396131520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA NICKOLE-WHITE HINTON

Provider Business Mailing Address
First Line	:	6333 CEDAR HILL CT
Second Line	:
City	:	TRINITY
State	:	NC
Zip	:	27370-8994
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 W MAIN ST
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-4641
Country	:	US
Telephone Number	:	704-780-4552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	10/27/2025

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