Provider Demographics
NPI:1346001567
Name:POSTON, KAITLIN ASHLEY (RN)
Entity Type:Individual
Prefix:
First Name:KAITLIN
Middle Name:ASHLEY
Last Name:POSTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5742 COULEE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-2517
Mailing Address - Country:US
Mailing Address - Phone:843-412-7921
Mailing Address - Fax:
Practice Address - Street 1:5742 COULEE PL
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-2517
Practice Address - Country:US
Practice Address - Phone:843-412-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC321276163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse