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Individual

KELLIE FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1471 JAG BRANCH BLVD UNIT 105, KERNERSVILLE, NC 27284-6963
(336) 277-6430
(336) 277-6448
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-7224

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008672
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/01/2016
Last updated
09/14/2021
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