Individual
KELLY ANN HAMMERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
110 LAUREL DR, PIKEVILLE, NC 27863-8395
(252) 230-2712
Mailing address
110 LAUREL DR, PIKEVILLE, NC 27863-8395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009001
NC
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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