Individual
CHANTAL NICOLE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1912 TW ALEXANDER DR, RESEARCH TRIANGLE PARK, NC 27709-0007
(800) 533-0567
(919) 361-7798
Mailing address
1912 TW ALEXANDER DRIVE, CENTER FOR MOLECULAR BIOLOGY AND PATHOLOGY, RESEARCH TRIANGLE PARK, NC 27709-0005
(800) 533-0567
(919) 361-7798
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12471
AMERICAN BOARD OF GENETIC COUNSELING
—
Enumeration date
04/09/2010
Last updated
04/09/2010
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