Individual
KELLY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
615 LEWIS ST STE 200-C, OXFORD, NC 27565-3693
(919) 482-6553
Mailing address
615 LEWIS ST STE 200-C, OXFORD, NC 27565-3693
(919) 482-6553
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
5008159
NC
Other
Enumeration date
11/13/2015
Last updated
10/24/2023
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