Provider Demographics
NPI:1578134953
Name:MCKARAHER, CAITLIN RENAE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:RENAE
Last Name:MCKARAHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:RENAE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2810 16TH ST NE #200
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:573-587-1264
Mailing Address - Fax:
Practice Address - Street 1:2810 16TH ST NE #200
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:704-237-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-11357363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical