Individual
KAYTE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-8000
(910) 321-6265
Mailing address
1638 OWEN DR DEPT OF, FAYETTEVILLE, NC 28304-3424
(910) 615-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2023018702
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
5018493
NC
363LF0000X
Family Nurse Practitioner
5018493
NC
Other
Enumeration date
07/07/2023
Last updated
03/02/2026
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