Individual
MS. LISA T KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
089746
NC
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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