Provider Demographics
NPI:1760776629
Name:EARLS, KATELYN ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:ELIZABETH
Last Name:EARLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:WOOLFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9 SUNFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:WHISPERING PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28327-7157
Mailing Address - Country:US
Mailing Address - Phone:508-642-8176
Mailing Address - Fax:910-907-8614
Practice Address - Street 1:2817 ROCK MERRITT AVE 5 SOUTH DOS- OPHTHALMOLOGY
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-9238
Practice Address - Country:US
Practice Address - Phone:910-907-6423
Practice Address - Fax:910-907-8614
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD79289207W00000X
VA0101252330207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology