Individual
CARRIE FRASURE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10021 PARK CEDAR DR STE 200, CHARLOTTE, NC 28210-8701
(704) 438-9383
(704) 438-9383
Mailing address
280 ERVIN FARM RD, MOORESVILLE, NC 28115-8212
(704) 699-7062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019377
NC
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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