Individual
KELLIE HARNEY O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
275 N NC 16 BUSINESS HWY STE 104, DENVER, NC 28037-3002
(704) 489-3440
(888) 815-0892
Mailing address
275 N NC 16 BUSINESS HWY STE 104, DENVER, NC 28037-3002
(704) 489-3440
(888) 815-0892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5002520
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316066079
—
NC
Enumeration date
03/27/2007
Last updated
07/07/2023
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