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Licensee Information

Katie Diana Fountain - PA-C
0010-08451
Active
No
09/17/2018
08/18/2027

Active Supervisor

NameTypeStatusApprovedInactive
Kahle, Caroline Holleck, MD MD Active 06/12/2025
Sly, David Jerome, DO DO Active 06/22/2026

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Alabama
California
District of Columbia
Florida
Georgia
Illinois
Massachusetts
Michigan
Missouri
New Mexico
New York
Ohio
South Carolina
Virginia

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 7/29/2026 5:09:05 PM

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