Individual
BRIAN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 MASON FARM RD, CHAPEL HILL, NC 27599-6134
(919) 966-1459
(919) 843-2356
Mailing address
3133 NAPOLEON AVE, NEW ORLEANS, LA 70125-5119
(318) 572-2829
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
50147606
NC
Other
Enumeration date
04/29/2018
Last updated
04/29/2018
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