Individual
MRS. KELLY MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-C
Contact information
Practice address
300 KEISLER DR STE 204, CARY, NC 27518-7083
(919) 233-0059
Mailing address
300 KEISLER DR STE 204, CARY, NC 27518-7083
(919) 233-0059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5005065
NC
363LF0000X
Family Nurse Practitioner
Primary
5005065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275838302
—
NC
Enumeration date
01/21/2011
Last updated
08/05/2016
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