Individual
MS. KELLI DAWN HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(816) 701-5200
(910) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013004374
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2020041052
MO
Other
Enumeration date
07/09/2015
Last updated
02/02/2026
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