Individual
MISS KELLIE ELIZABETH FLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5107 N CROATAN HWY STE 101, KITTY HAWK, NC 27949-3989
(252) 255-5321
(252) 565-0534
Mailing address
5107 N CROATAN HWY, KITTY HAWK, NC 27949-3989
(252) 255-5321
(252) 565-0534
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001001994
NC
Other
Enumeration date
09/03/2009
Last updated
08/04/2020
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