Individual
MRS. KRISTI KELLY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 954-3970
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
(919) 954-3970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083032
NC
Other
Enumeration date
08/31/2009
Last updated
06/19/2012
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