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Individual

MICHELLE LEE KERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-5318
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-2266
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009648
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245769389
NC
01
5009548
NCBON
NC
Enumeration date
06/11/2017
Last updated
06/24/2024
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