Individual
KATHERINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 N TRYON ST, CHARLOTTE, NC 28202-0202
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024192751
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
5014493
NC
363LA2100X
Acute Care Nurse Practitioner
APRN11036143
FL
Other
Enumeration date
05/09/2021
Last updated
06/12/2025
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