Individual
MRS. KELLY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
35 MEMORIAL DR, PINEHURST, NC 28374-8708
(910) 715-3370
Mailing address
35 MEMORIAL DR, PINEHURST, NC 28374-8708
(910) 715-3370
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5011858
NC
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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