Individual
KELBY LEWIS HARRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 332-3548
Mailing address
15617 PINOPOLIS RD, BOYKINS, VA 23827-2043
(757) 653-1412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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