Individual
KELLY K MUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5397 RAMSEY ST, FAYETTEVILLE, NC 28311-1417
(910) 488-9011
Mailing address
303 TILGHMAN DR, DUNN, NC 28334-5524
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07014
NC
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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