Individual
KRISTINA FAYE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 US HIGHWAY 64 E, KNIGHTDALE, NC 27545-9268
(919) 266-7600
Mailing address
7201 US HIGHWAY 64 E, KNIGHTDALE, NC 27545-9268
(919) 266-7600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
279140
NC
363LF0000X
Family Nurse Practitioner
Primary
5014880
NC
Other
Enumeration date
08/11/2021
Last updated
08/12/2021
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