Individual
MRS. KELLY BARNES LAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
213 9TH STREET, BOLTON, NC 28423
(910) 655-8300
(910) 655-8848
Mailing address
213 9TH STREET, BOLTON, NC 28423
(910) 655-8300
(910) 655-8848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20090302
NC
363L00000X
Nurse Practitioner
Primary
5004173
NC
Other
Enumeration date
12/03/2008
Last updated
08/24/2009
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