Individual
MS. KELLY RAE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1165 CEDAR POINT BLVD STE F, CEDAR POINT, NC 28584-1030
(252) 364-4690
(252) 606-4325
Mailing address
1165 CEDAR POINT BLVD STE F, CEDAR POINT, NC 28584-1030
(252) 364-4690
(252) 606-4325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101510
NC
Other
Enumeration date
05/23/2006
Last updated
11/19/2025
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