Provider Demographics
NPI:1083227896
Name:MCLAUGHLIN, KASEY (DNP, CRNA)
Entity Type:Individual
Prefix:DR
First Name:KASEY
Middle Name:
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4705 BUTTONBUSH DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-8940
Mailing Address - Country:US
Mailing Address - Phone:336-692-2963
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD # HAFS6670
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-668-0289
Practice Address - Fax:919-668-6265
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6429367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered