Individual
MRS. KELLY JEANETTE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMBT
Contact information
Practice address
7116C SIX FORKS RD, RALEIGH, NC 27615-6157
(919) 891-9991
(919) 847-3148
Mailing address
7116C SIX FORKS RD, RALEIGH, NC 27615-6157
(919) 891-9991
(919) 847-3148
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
709
NC
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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