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Individual

KELLEY J. MATHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2818 NEUSE BLVD, NEW BERN, NC 28562-2850
(252) 636-4964
(252) 636-4970
Mailing address
PO BOX 12610, 2818 NEUSE BLVD., NEW BERN, NC 28561-2610
(252) 636-4964
(252) 636-4970

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
169519
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7005702
NC
Enumeration date
07/16/2008
Last updated
08/23/2012
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