Individual
KELLY MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
288 ROLLING MEADOWS RD, LEBANON, VA 24266-5870
(276) 608-4114
Mailing address
288 ROLLING MEADOWS RD, LEBANON, VA 24266-5870
(276) 608-4114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27768
TN
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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